Individual
KATHERINE BORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
257 NORTHERN BLVD, SAINT JAMES, NY 11780-1813
(631) 766-2747
Mailing address
257 NORTHERN BLVD, SAINT JAMES, NY 11780-1813
(631) 766-2747
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1095379
—
Other
Enumeration date
08/21/2013
Last updated
06/07/2019
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