Provider Demographics
NPI:1780285320
Name:SIEW, KHY EE
Entity type:Individual
Prefix:
First Name:KHY EE
Middle Name:
Last Name:SIEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HORIZON RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1143
Mailing Address - Country:US
Mailing Address - Phone:917-930-9809
Mailing Address - Fax:
Practice Address - Street 1:3 HORIZON RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1143
Practice Address - Country:US
Practice Address - Phone:917-930-9809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered