Individual
BLAKE AMELIA BITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18 W 21ST ST FL 4, NEW YORK, NY 10010-6923
(212) 645-6903
Mailing address
200 E 72ND ST APT 17G, NEW YORK, NY 10021-4542
(609) 439-1238
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86151549
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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