Individual
REBECCA ANN KNAFELC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSG, CDN
Contact information
Practice address
8157 AVOSS LN, CLAY, NY 13041-8964
(315) 699-5701
Mailing address
8157 AVOSS LN, CLAY, NY 13041-8964
(315) 699-5701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
961476
NY
283Q00000X
Psychiatric Hospital
Primary
961476
NY
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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