Individual
MRS. KRISTEN BRONDE FARRELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
655 DEER PARK AVE, BABYLON, NY 11702-1314
(631) 321-2100
Mailing address
7 SEQUAMS LN W, WEST ISLIP, NY 11795-4524
(631) 813-8560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009582
NY
Other
Enumeration date
11/29/2018
Last updated
10/17/2023
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