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NPI Code Detail

MEDICARE: CONNIE FURY R.D.

MEDICARE: CONNIE FURY R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian0005061NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497752398
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE FURY R.D.
Provider Business Mailing Address
First Line : 600 WESTAGE BUSINESS CTR DR
Second Line :
City : FISHKILL
State : NY
Zip : 12524-2281
Country : US
Telephone Number : 845-231-5600
Fax Number : 845-231-5462
Provider Business Practice Location Address
First Line : 600 WESTAGE BUSINESS CTR DR
Second Line :
City : FISHKILL
State : NY
Zip : 12524-2281
Country : US
Telephone Number : 845-231-5560
Fax Number : 845-231-5489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/24/2008

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Directions to “ CONNIE FURY R.D.” Practice Location

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