Provider Demographics
NPI:1568271658
Name:DELOIAN, EMILY KATHERYNE (RD, CDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERYNE
Last Name:DELOIAN
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10914 ASCAN AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5309
Mailing Address - Country:US
Mailing Address - Phone:917-453-5546
Mailing Address - Fax:
Practice Address - Street 1:10914 ASCAN AVE APT 1B
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5309
Practice Address - Country:US
Practice Address - Phone:917-453-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86100974133V00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered