NPI 1003941345

Ann Faicco, RDCDN

Practitioner Registered Dietitian Ridgewood, NJ

Practice location

Address: 223 North van Dien Avenue, Ridgewood, NJ 07450-2736
Phone: (201) 634-5355
Fax: (201) 634-5385
Mailing address: 10 Bradley Dr, New City, NY 10956

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 720814

Other Dietitian, Registered providers in New Jersey →

Registry record

NPI: 1003941345
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.