Individual
SARA DE LUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2018 UTOPIA PKWY, WHITESTONE, NY 11357-4134
(860) 879-2040
Mailing address
1815 215TH ST APT 3K, BAYSIDE, NY 11360-2132
(347) 804-4448
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86090149
REGISTERED DIETITIAN
NY
Enumeration date
12/20/2018
Last updated
12/20/2018
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