Individual
CHAYA LEE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSG, CDN
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 703-0684
Mailing address
3379 STATE ROUTE 49, CENTRAL SQUARE, NY 13036-2338
(315) 727-8327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006770
NY
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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