Individual
SAMANTHA RUTH FOGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
14 WALL ST STE 2074, NEW YORK, NY 10005-2101
(917) 525-3475
Mailing address
50 TIBER RD, SYOSSET, NY 11791-1109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86391847
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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