Provider Demographics
NPI:1144662511
Name:VERMA-DZIK, VEENA A (ND)
Entity type:Individual
Prefix:
First Name:VEENA
Middle Name:A
Last Name:VERMA-DZIK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-1530
Mailing Address - Country:US
Mailing Address - Phone:203-762-7476
Mailing Address - Fax:
Practice Address - Street 1:8 KNIGHT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4720
Practice Address - Country:US
Practice Address - Phone:203-247-9496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000424175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath