Provider Demographics
NPI:1982767539
Name:CAREY, CATHERINE M (RDN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:CAREY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:BRITTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:402 POTTER BLVD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-1830
Mailing Address - Country:US
Mailing Address - Phone:631-587-1800
Mailing Address - Fax:
Practice Address - Street 1:402 POTTER BLVD
Practice Address - Street 2:
Practice Address - City:BRIGHTWATERS
Practice Address - State:NY
Practice Address - Zip Code:11718-1830
Practice Address - Country:US
Practice Address - Phone:631-587-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered