DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNY MARIE FADDA, RD, CDN, CNSC

Active Sole Proprietor

MRS. JENNY MARIE FADDA, RD, CDN, CNSC is a Registered Dietitian healthcare provider located in BALDWIN PLACE, New York. NPI 1164186623 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · BALDWIN PLACE, NY

Registration Details

NPI Number
1164186623
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2021 (4.8062696437632 yrs)
Last Updated
Oct 29, 2021
License
006928 (NY)
Sole Proprietor
Yes

Practice Information

Address
12 LOUNSBURY DR
BALDWIN PLACE, NY, 105051001
Browse NY providers · Browse ZIP 10505
Phone
9148158131
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in BALDWIN PLACE, NY

Name Credential NPI
BRENDA YATES RD 1306711361
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.