Individual
AMANDA HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
474 OVINGTON AVE, LOWER LEVEL, BROOKLYN, NY 11209-1550
(718) 238-2625
(718) 238-2704
Mailing address
474 OVINGTON AVE, LOWER LEVEL, BROOKLYN, NY 11209-1550
(718) 238-2625
(718) 238-2704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005740
NY
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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