Individual
CONNIE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
134 HENRY PL, STATEN ISLAND, NY 10305-1342
(917) 392-9689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068161
NY
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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