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Individual

MS. EMILY RENEE FEIVOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
9525 QUEENS BLVD, REGO PARK, NY 11374-4510
(718) 975-2415
Mailing address
9525 QUEENS BLVD FL 3, REGO PARK, NY 11374-4510
(718) 975-2415

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86034576
WI
133V00000X
Registered Dietitian
Primary
NY

Other

Enumeration date
04/02/2021
Last updated
06/18/2021
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