Provider Demographics
NPI:1184163958
Name:AMER, CHELSEY (RDN)
Entity type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:
Last Name:AMER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 4TH AVE
Mailing Address - Street 2:APT 5J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5205
Mailing Address - Country:US
Mailing Address - Phone:516-318-4428
Mailing Address - Fax:
Practice Address - Street 1:85 4TH AVE
Practice Address - Street 2:APT 5J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5205
Practice Address - Country:US
Practice Address - Phone:516-318-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86058970133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered