Mrs. Ilene Mack
Mrs. Ilene Mack is a Registered Dietitian in Middle Island, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
49 Oakcrest AveMiddle Island, NY 11953-1415
Phone: (516) 697-7383
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 858851 (NY) |
|---|
Record details
| NPI number | 1013778489 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 22, 2024 |
| Mailing address | 2 Leeds Ln, North Babylon, NY 11703-2902 |
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