Individual
MRS. ANN FAICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDCDN
Contact information
Practice address
223 NORTH VAN DIEN AVENUE, RIDGEWOOD, NJ 07450-2736
(201) 634-5355
(201) 634-5385
Mailing address
10 BRADLEY DR, NEW CITY, NY 10956
(845) 634-1567
(201) 634-5385
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720814
—
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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