Doctor Name: | LIANA ZACHARIAS |
NPI Number: | 1518940014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D |
License Number: | DT06340 |
Business Practice Address: | 11050 Mount Belvedere Blvd Usa Meddac, Attn: Credentials Fort Drum, NY - 136025438 |
Business Phone Number: | 3157724025 |
Business Fax Number: | 3157729498 |
Mailing Address: | 220 General Grant Cir, SACKETS HARBOR |
State: | NY |
Postal Code: | 136859509 |
Phone Number: | 3157839410 |
Fax Number: | 3157722663 |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT06340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |