Individual
MS. AMANDA KRISTINE FRAVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(718) 206-6000
Mailing address
2350 WATERS EDGE DR APT 3I, BAYSIDE, NY 11360-2208
(347) 300-6560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009397-01
NY
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
11/01/2018
Last updated
09/17/2024
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