Individual
TARA ABBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
125 ADAMS ST, DELMAR, NY 12054-3211
(518) 470-0866
(518) 380-6266
Mailing address
2481 EASTERN PKWY, NISKAYUNA, NY 12309-6307
(719) 306-2426
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009484
NY
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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