Individual
BRADLEY SCOTT GRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, CDN
Contact information
Practice address
15 TUDDINGTON RD, GREAT NECK, NY 11023-1316
(516) 581-2217
Mailing address
15 TUDDINGTON RD, GREAT NECK, NY 11023-1316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007048
NY
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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