Provider Demographics
NPI:1114304821
Name:GERTLER, CARLI SCHWARTZ (RDN, CDE)
Entity Type:Individual
Prefix:MRS
First Name:CARLI
Middle Name:SCHWARTZ
Last Name:GERTLER
Suffix:
Gender:F
Credentials:RDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 JULIA ST
Mailing Address - Street 2:APT 317
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3643
Mailing Address - Country:US
Mailing Address - Phone:516-448-3546
Mailing Address - Fax:
Practice Address - Street 1:300 N BROAD ST
Practice Address - Street 2:102
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5577
Practice Address - Country:US
Practice Address - Phone:516-448-3546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2262133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered