Individual
LISA MARIE BRESLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
75 WASHINGTON ST, POUGHKEEPSIE, NY 12601-2303
(845) 790-7990
(845) 790-9036
Mailing address
1200 BROWN STREET, HRHCARE, INC. CREDENTIALING DEPT, PEEKSKILL, NY 10566-2913
(914) 734-8858
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
007715
NY
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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