Individual
BROOKE BUCINELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDCES
Contact information
Practice address
63 SHAKER RD STE 201, ALBANY, NY 12204-1030
(518) 471-3636
(518) 471-3668
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076678
—
Other
Enumeration date
06/16/2021
Last updated
02/03/2025
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