National Provider Identifier
Taylor Jo Fairman, RDN
Taylor Jo Fairman, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Geneva, NY and a listed phone number of (315) 719-8292.
Profile Overview
- NPI
- 1396637609
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 21, 2025
- Last Updated
- July 21, 2025
Practice Location
- 2787 Pre Emption St
- Geneva, NY 14456-9271
Phone: (315) 719-8292
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1396637609
- Entity Type
- Individual
- Last Name
- Fairman
- First Name
- Taylor
- Middle Name
- Jo
- Credential
- RDN
- Mailing Street Address
- 2787 Pre Emption St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-9271
- Mailing Country
- US
- Mailing Phone
- (315) 719-8291
- Practice Street Address
- 2787 Pre Emption St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-9271
- Practice Country
- US
- Practice Phone
- (315) 719-8292
- Enumeration Date
- July 21, 2025
- Last Updated
- July 21, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)