Individual
HEATHER SAMARA SCHOLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1067, NEW YORK, NY 10029-6500
(212) 241-4842
Mailing address
200 E 87TH ST, APT 10K, NEW YORK, NY 10128-3112
(212) 452-2921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005736
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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