Individual
FAY A CESARANO-CAPUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD-CDN
Contact information
Practice address
89 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3142
(201) 632-3077
Mailing address
89 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3142
(201) 632-3077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
03/06/2007
Last updated
09/09/2019
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