Provider Demographics
NPI:1194561795
Name:MILLER, CLARE ELIZABETH PARME (RD, CDN)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:ELIZABETH PARME
Last Name:MILLER
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:ELIZABETH
Other - Last Name:PARME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:30 MAGAW PL APT 1G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-5245
Mailing Address - Country:US
Mailing Address - Phone:619-985-2486
Mailing Address - Fax:
Practice Address - Street 1:30 MAGAW PL APT 1G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-5245
Practice Address - Country:US
Practice Address - Phone:619-985-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011760-01133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered