Provider Demographics
NPI:1285466359
Name:COFFARO, VALERIA (RDN)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:COFFARO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HOLLAND PL
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2517
Mailing Address - Country:US
Mailing Address - Phone:917-913-4361
Mailing Address - Fax:
Practice Address - Street 1:10 HOLLAND PL
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2517
Practice Address - Country:US
Practice Address - Phone:917-913-4361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered