Doctor Name: | MRS. DEBORAH L FENNELL |
NPI Number: | 1619924040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., CDN |
License Number: | 006088-1 |
Business Practice Address: | 140 Burwell St Little Falls, NY - 133651725 |
Business Phone Number: | 3158235381 |
Business Fax Number: | |
Mailing Address: | 200 Fairway Dr, NEW HARTFORD |
State: | NY |
Postal Code: | 134131010 |
Phone Number: | 3157380526 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 006088-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |