Individual
MRS. NINA BRODSKY-BENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
31 MALLOW RD, EAST ROCKAWAY, NY 11518
(516) 593-9610
Mailing address
14 BULAIRE RD, EAST ROCKAWAY, NY 11518
(516) 593-9610
(516) 593-9146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001549
NY
133V00000X
Registered Dietitian
671589
NY
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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