Individual
MRS. CARLY HELENE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
43 SUNSET DRIVE, CENTEREACH, NY 11720-2319
(631) 940-8056
Mailing address
43 SUNSET DRIVE, CENTEREACH, NY 11720-2319
(631) 940-8056
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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