Individual
MS. ROBIN OLIVIA BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MA, IBCLC, CLC
Contact information
Practice address
22 FRANK ST, BRENTWOOD, NY 11717-6006
(631) 747-3357
Mailing address
22 FRANK ST, BRENTWOOD, NY 11717-6006
(631) 747-3357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
381223
NY
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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