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Contact Information

CHANDRA BALUSU
6 COLONIAL DR
POUGHKEEPSIE, NY12603-3770
 Phone: 845-849-1520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CHANDRA BALUSU · (Female)

NPI # 1689837387
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2008
Last updated 12/30/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # NY004674-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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