Individual
STEPHANIE FORSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E 95TH ST APT 24L, NEW YORK, NY 10128-4085
(810) 444-6762
Mailing address
215 E 95TH ST APT 24L, NEW YORK, NY 10128-4085
(810) 444-6762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011692
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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