| Doctor Name: | MRS. ANN FAICCO |
| NPI Number: | 1003941345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDCDN |
| License Number: | 720814 |
| Business Practice Address: | 223 North Van Dien Avenue Ridgewood, NJ - 074502736 |
| Business Phone Number: | 2016345355 |
| Business Fax Number: | 2016345385 |
| Mailing Address: | 10 Bradley Dr, NEW CITY |
| State: | NY |
| Postal Code: | 10956 |
| Phone Number: | 8456341567 |
| Fax Number: | 2016345385 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 720814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |