Individual
COLLEEN ANN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
119 TREASURE HILL RD, SOUTH KENT, CT 06785-1412
(917) 468-8444
Mailing address
119 TREASURE HILL RD, SOUTH KENT, CT 06785-1412
(917) 468-8444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1096546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096546
AND
NY
Enumeration date
10/06/2021
Last updated
10/06/2021
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