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Contact Information

MARCELLA B FIACCO, MS RD CDN
1523 COLUMBIA TURNPIKE
SERENITY DAY SPA
CASTLETON, NY12033
 Phone: 518-479-1433
 Fax: 518-479-1433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARCELLA B FIACCO · (Female)

NPI Number 1184675142
Status Active
Credentials MS RD CDN
Entity Individual
Enumeration date 05/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 0026991
  • NY Other 8000017131 AETNA
  • NY Other 10106803 CDPHP
  • NY Other 381226 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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