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Individual

CARA ANSELMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
300 E 66TH ST, NEW YORK, NY 10065-6800
(646) 888-4880
Mailing address
300 E 66TH ST, NEW YORK, NY 10065-6800

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006269
NY
133V00000X
Registered Dietitian
Primary
00944834
NY

Other

Enumeration date
06/20/2011
Last updated
06/20/2011
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