Organization
FERREIRA FUNCTIONAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH THOMSEN FERREIRA (OWNER)
(518) 308-8740
Entity
Organization
Contact information
Practice address
116 3RD ST, TROY, NY 12180-4037
(518) 308-8740
Mailing address
393 6TH AVE, TROY, NY 12182-3031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1061011
NY
Other
Enumeration date
02/19/2017
Last updated
02/19/2017
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