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Contact Information

MARLISA BROWN, MS RD CDE CDN
160 HOWELLS RD
BAY SHORE, NY11706
 Phone: 631-666-4297
 Fax: 631-666-5284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARLISA BROWN · (Female)

NPI # 1871666941
Status Active
Credentials MS RD CDE CDN
Entity Individual
Enumeration date 11/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0006910
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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