Individual
JORGE FARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4 WASHINGTON ST, GLEN COVE, NY 11542-3813
(760) 845-8724
Mailing address
4 WASHINGTON ST, GLEN COVE, NY 11542-3813
(760) 845-8724
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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