Provider Demographics
NPI:1891936100
Name:YONA, DORIT (MS RD CDN)
Entity type:Individual
Prefix:
First Name:DORIT
Middle Name:
Last Name:YONA
Suffix:
Gender:F
Credentials:MS RD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CARSTAIRS RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3318
Mailing Address - Country:US
Mailing Address - Phone:516-812-3969
Mailing Address - Fax:
Practice Address - Street 1:109 CARSTAIRS RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3318
Practice Address - Country:US
Practice Address - Phone:516-812-3969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY893995133V00000X
NY005620-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered