IndividualActive
Yvonne Themistocleous, MS, RD
NPI 1881291219 · Gerontological Nutrition Registered Dietitian · Flushing, NY
Provider details
- NPI number
- 1881291219
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1044740 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3225 190th St
Flushing, NY 11358-1952
Phone: (917) 681-1290
Approximate (ZIP-level) locationGet directions
Mailing address
3225 190th St
Flushing, NY 11358-1952
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.