Individual
MONICA FRANCES DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MED, RD, CDN
Contact information
Practice address
111 E. 210TH STREET, BRONX, NY 10467-2490
(718) 920-8477
(718) 547-4773
Mailing address
17 KINGS WAY, PATTERSON, NY 12563
(914) 319-3774
(845) 878-3773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005441-1
NY
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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