Individual
NICOLE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1574 HILLSIDE AVENUE, NEW HYDE PARK, NY 11040
(516) 327-5555
(516) 327-5556
Mailing address
1574 HILLSIDE AVENUE, NEW HYDE PARK, NY 11040
(516) 327-5555
(516) 327-5556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008816-1
NY
Other
Enumeration date
01/31/2017
Last updated
03/20/2020
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