MEDICARE: MS. CHRISTINA F FINI 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	1078030	NY

General Provider Information

NPI Number	:	1770928392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA F FINI RD

Provider Business Mailing Address
First Line	:	24 AVE AT PORT IMPERIAL
Second Line	:	#130
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-8399
Country	:	US
Telephone Number	:	845-590-5909
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 AVE AT PORT IMPERIAL
Second Line	:	#130
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-8399
Country	:	US
Telephone Number	:	845-590-5909
Fax Number	:

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

Provider Enumeration Date	:	05/09/2013
Last Update Date	:	04/04/2015

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