Individual provider · Type 1 NPI

Emily Faith Clark, RD

Registered Dietitian · Fort Drum, NY

NPI number 1770249658 Active

Practice location

111050 Mount Belvedere Blvd
Fort Drum, NY 13602

Mailing address

111050 Mount Belvedere Blvd
Fort Drum, NY 13603

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1770249658

Emily Faith Clark, RD's National Provider Identifier is 1770249658, issued on Nov 15, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jan 26, 2026.