Individual
CARLY LAURAINE FOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
37C LAKEVIEW DR, HALFMOON, NY 12065-4126
(315) 778-2546
(315) 778-2546
Mailing address
37C LAKEVIEW DR, HALFMOON, NY 12065-4126
(315) 778-2546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86011156
NY
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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