Individual
JENNIFER FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
174 MAIN ST, PORT WASHINGTON, NY 11050-3212
(516) 944-0500
(516) 944-0501
Mailing address
174 MAIN ST, PORT WASHINGTON, NY 11050-3212
(516) 944-0500
(516) 944-0501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723130
NY
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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