Individual
MICHAELA CATHERINE FATUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
42 HUNTER AVE, NORTH BABYLON, NY 11703-4502
(631) 513-1742
Mailing address
42 HUNTER AVE, NORTH BABYLON, NY 11703-4502
(631) 513-1742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010466
NY
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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