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Individual

ALLA BRAYER I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED DIETITIAN

Contact information

Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3148
Mailing address
1921 67TH ST FL BROOKLYN, BROOKLYN, NY 11204-4506
(646) 431-3443
(718) 883-6114

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003566
NY

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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