Individual
BRIANNA MEGHAN BURGHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
HSC 11 RM 048, STONY BROOK, NY 11794-8111
(631) 444-8115
(631) 444-6045
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
006855
NY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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