Individual
SARA VESCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(614) 254-9752
Mailing address
SOUTH RIVA RIDGE LOOP, BLDG 10529, FORT DRUM, NY 13602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/06/2025
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