| Doctor Name: | MRS. ELIZABETH MARIE MADISON |
| NPI Number: | 1417293218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CRC, CNWC |
| License Number: | 1083420 |
| Business Practice Address: | 21910 S Conduit Ave Lower Level Laurelton, NY - 114133462 |
| Business Phone Number: | 7185980617 |
| Business Fax Number: | 7185288988 |
| Mailing Address: | 22919 Merrick Blvd, #226 LAURELTON |
| State: | NY |
| Postal Code: | 114132108 |
| Phone Number: | 7185980617 |
| Fax Number: | 7185288988 |
| NPI Enumeration Date: | 12/25/2012 |
| NPI Last Update Date: | 12/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1083420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |