Individual
EMILY PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
39-05 SUNDERLAND DR, FAIR LAWN, NJ 07410-5427
(201) 315-0761
Mailing address
39-05 SUNDERLAND DR, FAIR LAWN, NJ 07410-5427
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86034737
—
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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