Individual
MS. LEISA A BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CSG
Contact information
Practice address
213 E 42ND ST, BROOKLYN, NY 11203-4027
(917) 754-2059
Mailing address
213 E 42ND ST, BROOKLYN, NY 11203-4027
(917) 754-2059
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
48006838
NY
133V00000X
Registered Dietitian
840711
NY
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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