MEDICARE: MS. YVETTE SALCIE RD, CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	921162	NJ

General Provider Information

NPI Number	:	1881826485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YVETTE SALCIE RD, CDE

Provider Business Mailing Address
First Line	:	D3 GIRARD PL
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5614
Country	:	US
Telephone Number	:	908-267-3322
Fax Number	:	800-671-9865

Provider Business Practice Location Address
First Line	:	268 GREEN VILLAGE RD
Second Line	:
City	:	GREEN VILLAGE
State	:	NJ
Zip	:	07935-3027
Country	:	US
Telephone Number	:	800-671-9865
Fax Number	:	800-671-9865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2009
Last Update Date	:	08/16/2016

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