Individual
SUSAN BRODLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD, CNSC
Contact information
Practice address
3959 BROADWAY, RM 703B, NEW YORK, NY 10032-1559
(212) 305-6225
(212) 342-4779
Mailing address
3959 BROADWAY, RM 703B, NEW YORK, NY 10032-1559
(212) 305-6225
(212) 342-4779
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
003807-1
NY
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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