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Individual

MS. LUCILLE ROSE BRIND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 867-7817
(516) 867-3779
Mailing address
5 LINDENMERE DR, MERRICK, NY 11566-4313
(516) 867-3779
(516) 867-3779

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
683567
NY

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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