MEDICARE: CHRISTINA FAHY RD

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
1	133V00000X	Registered Dietitian	006979-1	NY

General Provider Information

NPI Number	:	1720445869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA FAHY RD

Provider Business Mailing Address
First Line	:	2375 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306
Country	:	US
Telephone Number	:	347-559-1254
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2352
Country	:	US
Telephone Number	:	347-559-1254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

Similar Medicare Providers

1679204887 — GABRIELLA MARIE IMPERATO M.S CF SLP
Practice Location Address:

1A SHERWOOD PL
STATEN ISLAND, NY
10308-2352

Practice Phone: 347-308-2866
Practice Fax:

1669108940 — BIO RX EXPRESS INC
Practice Location Address:

3627 31ST ST STE 3
LONG ISLAND CITY, NY
11106-2352

Practice Phone: 718-440-8346
Practice Fax:

1902757586 — MR. SYLVESTER MICHAEL WILLIS II
Practice Location Address:

74 E BROADWAY
STATEN ISLAND, NY
10306-2057

Practice Phone: 347-844-2359
Practice Fax:

1144926288 — ALEXANDRIA NICOLE CATALANO DMD
Practice Location Address:

3010 AMBOY RD
STATEN ISLAND, NY
10306-2015

Practice Phone: 718-285-8570
Practice Fax:

1487686341 — THE STOP & SHOP SUPERMARKET COMPANY LLC
Practice Location Address:

2754 HYLAN BLVD
STATEN ISLAND, NY
10306-4658

Practice Phone: 718-980-2059
Practice Fax: 718-980-4922

1144172370 — CHRISTOPHER TROMBETTA
Practice Location Address:

216 FREMONT AVE
STATEN ISLAND, NY
10306-3226

Practice Phone: 929-378-0207
Practice Fax:

Directions to “ CHRISTINA FAHY RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.