Individual
MICHELLE BRENSEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 ESSEX ST, NEW YORK, NY 10002-2301
(212) 477-1120
(212) 477-8957
Mailing address
60 MADISON AVE, 5TH FL, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
08/01/2016
Last updated
10/11/2016
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