Individual
MRS. DEBORAH L FENNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D., CDN
Contact information
Practice address
140 BURWELL ST, LITTLE FALLS, NY 13365-1725
(315) 823-5381
Mailing address
200 FAIRWAY DR, NEW HARTFORD, NY 13413-1010
(315) 738-0526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006088-1
NY
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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