Individual
MRS. CONSTANCE BROWN-RIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, RD, CDE, CDN
Contact information
Practice address
100 VETERANS BLVD, SUITE 15, MASSAPEQUA, NY 11758-4944
(516) 795-4288
(866) 385-1158
Mailing address
100 VETERANS BLVD, SUITE 15, MASSAPEQUA, NY 11758-4944
(516) 795-4288
(866) 385-1158
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
001536-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589273
AETNA PROVIDER NUMBER
NY
01
—
AZ00258
MDNY
NY
01
—
P829563
OXFORD PROVIDER NUMBER
NY
01
—
S00101
BLUE CROSS BLUE SHIELD
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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