Individual
MS. COLLEEN M IAVARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CNSD
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4929
Mailing address
92 BRIARCLIFF DR, HORSEHEADS, NY 14845-1660
(607) 737-4929
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
002239-1
NY
133V00000X
Registered Dietitian
Primary
712525
NY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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