Individual
FAY EIKENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
49 CHERRY LN, HUNTINGTON, NY 11743-2946
(631) 759-0118
Mailing address
49 CHERRY LN, HUNTINGTON, NY 11743-2946
(631) 759-0118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005238
NY
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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