Individual
DR. COURTNEY L WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M, L.AC
Contact information
Practice address
2186 5TH AVE APT 1P, NEW YORK, NY 10037-2708
(212) 252-2802
Mailing address
244 5TH AVE STE 1783, NEW YORK, NY 10001-7604
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000463-1
NY
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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