Individual
EILEEN BRIDGET FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
(212) 769-7232
Mailing address
35 JOURNAL SQ STE 471, JERSEY CITY, NJ 07306-4029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005263-01
NY
133V00000X
Registered Dietitian
Primary
847105
NJ
Other
Enumeration date
09/19/2019
Last updated
05/17/2024
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