Individual
THERESA BRERETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN,CDE
Contact information
Practice address
6110 QUEENS BLVD, ESPRIT MEDICAL CARE, WOODSIDE, NY 11377-5776
(718) 397-2002
Mailing address
204 E 52ND ST, BROOKLYN, NY 11203-2404
(718) 773-7237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720882
NY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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