Fitzgibbon, Jennifer Lyn
Fitzgibbon, Jennifer Lyn is an sole proprietor health care provider with primary practice located at 3 Edmund D Pellegrino Rd , Stony Brook NY 11794-1008. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fitzgibbon, Jennifer Lyn can be contacted via phone (631) 638-0851.Contact Information
Primary practice address
3 Edmund D Pellegrino Rd
Stony Brook NY 11794-1008
Phone: (631) 638-0851
Fax: (631) 638-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 0059291 | New York |
Profile Details
| NPI number | 1679866909 |
|---|---|
| LBN Legal business name | Fitzgibbon, Jennifer Lyn |
| Credentials | MS RD CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2011 |
| Last updated | May 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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