Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jennifer Lyn Fitzgibbon, MSRDCDN

Individual provider Registered Dietitian · NPI 1679866909

Miss. Jennifer Lyn Fitzgibbon, MSRDCDN is a Registered Dietitian in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-1008
Phone: (631) 638-0851
Fax: (631) 638-0850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 0059291 (NY)

Record details

NPI number1679866909
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRDCDN
Sole proprietorYes
NPI enumeratedMay 19, 2011
Last updated in NPPESMay 19, 2011

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