Individual
BLAKE BRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
175 HUGUENOT ST UNIT 907, NEW ROCHELLE, NY 10801-7762
(917) 734-9330
Mailing address
175 HUGUENOT ST UNIT 907, NEW ROCHELLE, NY 10801-7762
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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