Individual
JESSICA FONTANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2125 RIVER RD, SUITE 302, NISKAYUNA, NY 12309-1135
(518) 243-1313
(518) 831-7007
Mailing address
2125 RIVER RD, SUITE 302, NISKAYUNA, NY 12309-1135
(518) 243-1313
(518) 831-7007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007418
NY
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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