Individual
BRANDEE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SICKLES ST APT 2D, NEW YORK, NY 10040-1640
(917) 902-4604
Mailing address
15 SICKLES ST APT 2D, NEW YORK, NY 10040-1640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86003216
NY
Other
Enumeration date
04/11/2018
Last updated
11/20/2023
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