Eileen Bridget Fahey
Dietitian, Registered in New York, NY. Individual provider (NPI-1).
NPI number1679123715
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1679123715
- Entity type
- Individual (NPI-1)
- Name
- Eileen Bridget Fahey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2019
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 847105 | NJ | Yes |
| 133V00000X | Dietitian, Registered | 005263-01 | NY |
Practice location
801 Amsterdam AveNew York, NY 10025-5752
Phone 212-769-7232
Mailing address
35 Journal Sq Ste 471Jersey City, NJ 07306-4029
Other practice locations
35 Journal Sq Ste 471
Jersey City, NJ 07306-4029
Jersey City, NJ 07306-4029
Phone 201-736-5934
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