Individual
REBECCA ANN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDN, CDE
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-0996
Mailing address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-0996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008900
NY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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