Individual
RIVA G FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1127 E 31ST ST, BROOKLYN, NY 11210-4732
(347) 860-2375
Mailing address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
(718) 778-4801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007704-1
NY
Other
Enumeration date
04/19/2016
Last updated
06/30/2016
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