MEDICARE: PAULA IGNACIA VERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86371063	NJ

General Provider Information

NPI Number	:	1336938521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA IGNACIA VERA

Provider Business Mailing Address
First Line	:	4 1/2 WILLIAM ST
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-1812
Country	:	US
Telephone Number	:	973-906-0896
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 1/2 WILLIAM ST
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-1812
Country	:	US
Telephone Number	:	973-906-0896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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Directions to “ PAULA IGNACIA VERA ” Practice Location

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