Individual
MR. CHRISTOPHER J FIDELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 SHADETREE LN, STONY BROOK, NY 11790-3115
(516) 818-4435
Mailing address
2 SHADETREE LN, STONY BROOK, NY 11790-3115
(516) 818-4435
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
003006
NY
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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