Individual
DANIELLE BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
3078 IRA RD, BELLMORE, NY 11710-5217
(516) 426-8224
Mailing address
3078 IRA RD, BELLMORE, NY 11710-5217
(516) 426-8224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86198363
NY
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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