Healthcare Provider Details

I. General information

NPI: 1578793717
Provider Name (Legal Business Name): EVE KECSKES M.S., R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EVE SALIK

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 5TH AVE SUITE 603
NEW YORK NY
10016-6601
US

IV. Provider business mailing address

303 5TH AVE SUITE 603
NEW YORK NY
10016-6601
US

V. Phone/Fax

Practice location:
  • Phone: 917-886-8713
  • Fax:
Mailing address:
  • Phone: 917-886-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: