Individual
REBECCA BRENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 MADISON AVE # 1176, NEW YORK, NY 10016-2817
(619) 350-6290
Mailing address
2559 LOWER LAKE RD, SENECA FALLS, NY 13148-9419
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117632
NY
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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