Individual
CAROLYN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
4500 PEWTER LN BLDG 8&9, MANLIUS, NY 13104-9707
(315) 683-4263
Mailing address
1672 POMPEY CENTER RD, FABIUS, NY 13063-8703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008357
NY
Other
Enumeration date
07/18/2017
Last updated
12/20/2021
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