Doctor Name: | MS. ELLEN BETH LISKOV |
NPI Number: | 1912125733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, MPH, CDE |
License Number: | 000489 |
Business Practice Address: | 20 York St Cbb 52 New Haven, CT - 065103220 |
Business Phone Number: | 2036882422 |
Business Fax Number: | 2036882141 |
Mailing Address: | 28 Plymouth Ct, MILFORD |
State: | CT |
Postal Code: | 064603448 |
Phone Number: | 2037831387 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 000489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |