Provider Demographics
NPI:1669784963
Name:BIONDI, CAREY JAIMIE (RD, CD-N)
Entity type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:JAIMIE
Last Name:BIONDI
Suffix:
Gender:F
Credentials:RD, CD-N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SHORT BEACH RD UNIT 208
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-7669
Mailing Address - Country:US
Mailing Address - Phone:203-521-3280
Mailing Address - Fax:203-385-1161
Practice Address - Street 1:115 SHORT BEACH RD UNIT 208
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7669
Practice Address - Country:US
Practice Address - Phone:203-521-3280
Practice Address - Fax:203-385-1161
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000889133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered