Samantha Ellis, MS, RD
Samantha Ellis, MS, RD is a Registered Dietitian OR Nutrition Professional in Walden, New York. Graduated from City University of New York School of Medicine in 2011, 15 years ago. Practices with Lgc Nutrition LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 15
- Trained at
- City University of New York School of Medicine
- Licensed in
- NY
- In the registry since
- 2014
What do these letters mean?
Practice location Address checks out
44 Pleasant AveWalden, NY 12586-1240
Phone: (845) 597-8128
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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 1033283 (NY) |
|---|
Record details
| NPI number | 1285044750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , RD |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2014 |
| Last updated in NPPES | May 5, 2014 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Lgc Nutrition Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |