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Individual

KRISTA ALI FEDORCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, CDN

Contact information

Practice address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251
(607) 252-3590
Mailing address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046225

Other

Enumeration date
08/15/2017
Last updated
02/08/2024
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