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Individual

CHARLES BREWSTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDN, RDN

Contact information

Practice address
255 FIELDSTON TER APT 3F, BRONX, NY 10471-3024
(917) 359-6539
Mailing address
255 FIELDSTON TER APT 3F, BRONX, NY 10471-3024
(917) 359-6539

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86042647

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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