Individual
JENNIFER ELIZABETH FILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD-N, CDE
Contact information
Practice address
240 WILLOUGHBY ST, SUITE 11E, BROOKLYN, NY 11201-5465
(718) 250-8866
(718) 250-6705
Mailing address
496 1/2 6TH AVE, BROOKLYN, NY 11215-4905
(631) 766-9382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006101-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03095723
—
NY
Enumeration date
05/15/2006
Last updated
12/10/2011
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