Individual provider · NPI-1

Samantha Dianne Carley, MS, RDN

Dietitian, Registered · Babylon, NY

NPI number1487487245
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1487487245
Entity type
Individual (NPI-1)
Name
Mrs. Samantha Dianne Carley
Credential
MS, RDN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2024
Certification date
Aug 26, 2024
Last updated
Aug 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86073953NYYes

Practice location

49 Burnage Ln
Babylon, NY 11702-1426

Phone 631-991-5835

Mailing address

49 Burnage Ln
Babylon, NY 11702-1426

Phone 631-991-5835

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