Individual
MS. CHARLENE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
37 RESEARCH WAY, EAST SETAUKET, NY 11733-3465
(631) 444-7885
(631) 444-8968
Mailing address
STONY BROOK CHILDREN'S HOSPITAL, 100 NICOLLS ROAD, T-11, ROOM 060, STONY BROOK, NY 11794-8111
(631) 444-7885
(631) 444-8968
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929486
NY
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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