Individual
LIANA ZACHARIAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D., L.D
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-4025
(315) 772-9498
Mailing address
220 GENERAL GRANT CIR, SACKETS HARBOR, NY 13685-9509
(315) 783-9410
(315) 772-2663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06340
TX
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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