Individual
SAMANTHE FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
184 W MONTAUK HWY, HAMPTON BAYS, NY 11946-2304
(631) 723-4200
Mailing address
184 W MONTAUK HWY, HAMPTON BAYS, NY 11946-2304
(631) 723-4200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009263
NY
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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