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Individual
JENNIFER DERFEL
Active
Individual
JENNIFER DERFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011515
NY
133VN1101X
Gerontological Nutrition Registered Dietitian
011515
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
011515
NY
Other
Enumeration date
05/08/2023
Last updated
11/28/2023
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