Individual
FAN HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.C.N, R.D.
Contact information
Practice address
271 NORTH AVE, ST 111, NEW ROCHELLE, NY 10801-5104
(914) 235-3674
Mailing address
9608 57TH AVE APT 18J, CORONA, NY 11368-3407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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