Provider Demographics
NPI:1841057791
Name:CAFARELLA, EMILY PAIGE (RDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:PAIGE
Last Name:CAFARELLA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SUNNY DR
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-1141
Mailing Address - Country:US
Mailing Address - Phone:631-335-5544
Mailing Address - Fax:
Practice Address - Street 1:12 SUNNY DR
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-1141
Practice Address - Country:US
Practice Address - Phone:631-335-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered