Individual
SAMANTHA KELLY BALKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
292 LONG RIDGE RD STE 206, STAMFORD, CT 06902-1627
(203) 276-4378
(203) 276-4975
Mailing address
13 LAKE MARIE LN, BEDFORD HILLS, NY 10507-1231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2066
CT
Other
Enumeration date
10/15/2021
Last updated
10/21/2021
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