Provider Demographics
NPI:1871336974
Name:ATEF, FIFA
Entity type:Individual
Prefix:
First Name:FIFA
Middle Name:
Last Name:ATEF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FIFAA
Other - Middle Name:
Other - Last Name:ATEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:37 HOLSMAN RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4426
Mailing Address - Country:US
Mailing Address - Phone:929-867-2287
Mailing Address - Fax:
Practice Address - Street 1:37 HOLSMAN RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4426
Practice Address - Country:US
Practice Address - Phone:929-867-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered