Vera Kotlyar, RD | |
2983 Farmhouse Dr, Apex, NC 27502-7060 | |
(347) 967-6410 | |
Not Available |
Full Name | Vera Kotlyar |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2983 Farmhouse Dr, Apex, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396384343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L005851 (North Carolina) | Primary |
Provider Name | Apex Functional Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558060178 PECOS PAC ID: 1557727559 Enrollment ID: O20230517002178 |
Mailing Address | Practice Location Address |
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Vera Kotlyar, RD 2983 Farmhouse Dr, Apex, NC 27502-7060 Ph: (347) 967-6410 | Vera Kotlyar, RD 2983 Farmhouse Dr, Apex, NC 27502-7060 Ph: (347) 967-6410 |
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