Individual
STEPHANIE AMIGO GULBRANDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
20 SARATOGA AVE, SOUTH GLENS FALLS, NY 12803-4838
(518) 366-3937
Mailing address
20 SARATOGA AVE, SOUTH GLENS FALLS, NY 12803-4838
(518) 366-3937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004910-1
DIETETICS & NUTRITION
NY
Enumeration date
03/27/2007
Last updated
07/07/2014
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