Provider Demographics
NPI:1770346546
Name:VARAS, GABRIELA (RD CDN)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:VARAS
Suffix:
Gender:F
Credentials:RD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14430 35TH AVE APT B54
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3626
Mailing Address - Country:US
Mailing Address - Phone:718-710-7269
Mailing Address - Fax:
Practice Address - Street 1:14430 35TH AVE APT B54
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3626
Practice Address - Country:US
Practice Address - Phone:718-710-7269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86098314133VN1101X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological