Individual
CARA MONTESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CLC
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11790-3407
(631) 444-3630
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009019
NYSED.GOV DIETETICS-NUTRITION
NY
Enumeration date
12/30/2016
Last updated
06/05/2017
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