Individual
MRS. KATHLEEN FULGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
61 CONKLIN AVE, TAPPAN, NY 10983-2004
(845) 535-1725
Mailing address
61 CONKLIN AVE, TAPPAN, NY 10983-2004
(845) 535-1725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002870-1
NY
Other
Enumeration date
10/02/2006
Last updated
10/09/2024
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