Individual
GEORGIA S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
2832 LINDEN BOULEVARD, BROOKLYN, NY 11208
(718) 240-2000
(718) 240-2215
Mailing address
55 WATER ST FL 12, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001981
LICENSE NUMBER
NY
Enumeration date
11/30/2006
Last updated
11/09/2017
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