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General NPI Number Information
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NPI Number | 1578846424
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Entity Type | Individual
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Provider Name | ELENA J LADAS PHD, RD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-305-7835
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Fax | 212-305-5848
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Provider Business Mailing Address
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Address Line | 3959 BROADWAY # 10-06N
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-7835
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 919072
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 006116
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License Number State | NY
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