Individual
MOLLY BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5414
Mailing address
510 RESERVE CT, GLENVILLE, NY 12302-3537
(716) 955-9996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009692
NY
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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