Provider Demographics
NPI:1386396257
Name:LAKATOS SHAMES, TAMMY FELICE (RDN, CDN, CFT)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:FELICE
Last Name:LAKATOS SHAMES
Suffix:
Gender:F
Credentials:RDN, CDN, CFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 W 70TH ST APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4404
Mailing Address - Country:US
Mailing Address - Phone:917-287-4429
Mailing Address - Fax:
Practice Address - Street 1:154 W 70TH ST APT 6E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4404
Practice Address - Country:US
Practice Address - Phone:191-728-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005141133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
005141OtherLABS, GENETIC TESTS, BLOOD WORK, MORE