Individual
MS. GERALYN LA VECCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD/N
Contact information
Practice address
3149 CAMDEN LN, MERRICK, NY 11566-5137
(516) 298-7887
Mailing address
3149 CAMDEN LN, MERRICK, NY 11566-5137
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
48 006049
NY
133V00000X
Registered Dietitian
Primary
48 006049
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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