Provider Demographics
NPI:1013156058
Name:BAUM, LIMOR (MS, RD)
Entity Type:Individual
Prefix:
First Name:LIMOR
Middle Name:
Last Name:BAUM
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 W END AVE APT 11E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6141
Mailing Address - Country:US
Mailing Address - Phone:212-874-9467
Mailing Address - Fax:
Practice Address - Street 1:393 W END AVE APT 11E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6141
Practice Address - Country:US
Practice Address - Phone:212-874-9467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered