Individual
NICOLE GRACE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
640 W 170TH ST APT 3A, NEW YORK, NY 10032-3532
(201) 410-3233
Mailing address
640 W 170TH ST APT 3A, NEW YORK, NY 10032-3532
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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