Individual
LORI LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD-N
Contact information
Practice address
448 8TH ST, BROOKLYN, NY 11215-3616
(718) 788-6271
Mailing address
448 8TH ST, BROOKLYN, NY 11215-3616
(718) 788-6271
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005476-1
NY
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
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