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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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