Individual
KELLY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
1132 BERGEN ST APT 3F, BROOKLYN, NY 11216-3388
(203) 885-2757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86058036
—
Other
Enumeration date
05/01/2020
Last updated
05/08/2025
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