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Organization

BEVERLEY GRIFFITH-FENTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BEVERLEY P. GRIFFITH-FENTON M.S.,R.D.,CDN. (CLINICAL DIETITIAN SUPERVISOR)
(845) 341-8827
Entity
Organization

Contact information

Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-6566
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006912
NY

Other

Enumeration date
09/20/2015
Last updated
09/20/2015
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