Individual
MS. CAROLYN E ANTONIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRDN
Contact information
Practice address
220 STEUBEN STREET, MONTOUR FALLS, NY 14865
(607) 535-7121
Mailing address
220 STEUBEN STREET, MONTOUR FALLS, NY 14865
(607) 535-7121
(607) 210-1936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006214-1
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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