Individual
BRYAN BISCHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, CDN
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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