| Doctor Name: | MS. JUDITH IRENE ARIES |
| NPI Number: | 1225311970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 004705-1 |
| Business Practice Address: | 24 Beech Rd Islip, NY - 117514907 |
| Business Phone Number: | 6312559463 |
| Business Fax Number: | 6315816063 |
| Mailing Address: | 24 Beech Rd, ISLIP |
| State: | NY |
| Postal Code: | 117514907 |
| Phone Number: | 6312559463 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 004705-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |