Individual
BRIAN HALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
37 TYLER ST, FREEPORT, NY 11520-6225
(516) 376-6383
Mailing address
37 TYLER ST, FREEPORT, NY 11520-6225
(516) 376-6383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008932
NY
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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