Eileen Bridget Fahey, | |
801 Amsterdam Ave, New York, NY 10025-5752 | |
(212) 769-7232 | |
Not Available |
Full Name | Eileen Bridget Fahey |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 801 Amsterdam Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679123715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 005263-01 (New York) | Secondary |
133V00000X | Dietitian, Registered | 847105 (New Jersey) | Primary |
Provider Name | William F Ryan Community Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851328199 PECOS PAC ID: 4880596550 Enrollment ID: O20041023000026 |
Mailing Address | Practice Location Address |
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Eileen Bridget Fahey, 35 Journal Sq Ste 471, Jersey City, NJ 07306-4029 Ph: () - | Eileen Bridget Fahey, 801 Amsterdam Ave, New York, NY 10025-5752 Ph: (212) 769-7232 |
Mrs. Laura Manning, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1625, New York, NY 10029 Phone: 212-241-9426 | |
Erika Jacobson, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 917-241-5633 | |
Danielle Stark, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 205 W 88th St Apt 6d, New York, NY 10024 Phone: 973-954-0666 | |
Ms. Ellen Schranz, MS, MBA, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1067, New York, NY 10029 Phone: 212-241-4228 | |
Michelle Mock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 East 68th Street, New York, NY 10065 Phone: 212-746-3520 Fax: 212-746-8577 | |
Limor Baum, M.S., R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 393 W End Ave Apt 11e, New York, NY 10024 Phone: 212-874-9467 | |
Mrs. Shara Wagowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, Box 92, New York, NY 10065 Phone: 212-759-6999 |