Individual
MISS JENNIFER LYN FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDN
Contact information
Practice address
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794-1008
(631) 638-0851
(631) 638-0850
Mailing address
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794-1008
(631) 638-0851
(631) 638-0850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0059291
NY
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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