Individual
GEORGIA BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007772
NY
Other
Enumeration date
02/02/2015
Last updated
10/20/2016
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