Individual
COLLEEN FRANCES FARLEY-CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CDE
Contact information
Practice address
964 WASHINGTON AVE, WESTBURY, NY 11590-6038
(516) 996-2204
Mailing address
964 WASHINGTON AVE, WESTBURY, NY 11590-6038
(516) 996-2204
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
002701-1
NY
133NN1002X
Nutrition Education Nutritionist
002701
NY
133V00000X
Registered Dietitian
Primary
002701-1
NY
Other
Enumeration date
01/29/2006
Last updated
12/29/2016
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