Karina Susanne Ellis, RD, LDN
Karina Susanne Ellis, RD, LDN is a Registered Dietitian OR Nutrition Professional in Wading River, New York. Qualified in 2024, 2 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 2
- Licensed in
- NY
- In the registry since
- 2024
What do these letters mean?
Practice location Address checks out
2450 N Wading River RdWading River, NY 11792-1402
Phone: (631) 929-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 011740 (NY) |
|---|
Record details
| NPI number | 1538921531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , LDN |
| Sole proprietor | No |
| NPI enumerated | January 25, 2024 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Stony Brook Internists University Faculty Practice Corporation — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Wading River
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Grace Daly, MS, RD
6142 N Country Rd, Wading River, NY 11792-1624 · (631) 599-3413