Individual
MS. MARLISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CDE CDN
Contact information
Practice address
160 HOWELLS RD, BAY SHORE, NY 11706
(631) 666-4297
(631) 666-5284
Mailing address
160 HOWELLS RD, BAY SHORE, NY 11706
(631) 666-4297
(631) 666-5284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0006910
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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