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NPI 1528978434

NPI 1528978434 : ELYSE SOSIN LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1528978434
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELYSE SOSIN LLC 
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Dates
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    Enumeration Date     |    09/11/2026
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    Last Update Date     |    09/11/2026
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Provider Practice Location Address
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    Address Line         |    505 EAST 79TH STREET 146 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10075-0724
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    Country              |    US
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    Telephone            |    212-327-2989
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    505 EAST 79TH STREET 146 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10075-0724
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    Country              |    US
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    Telephone            |    212-327-2989
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     ELYSE  SOSIN 
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    Credential           |    
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    Telephone            |    212-327-2989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    
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    License Number State |    
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