Individual
MRS. COLLEEN MARIE CHIARIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
27 S ELM ST, HICKSVILLE, NY 11801-4362
(516) 935-5570
Mailing address
27 S ELM ST, HICKSVILLE, NY 11801-4362
(516) 935-5570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010037
OFFICE OF THE PROFESSIONS
NY
Enumeration date
05/31/2022
Last updated
05/31/2022
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