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MS. GERI BREWSTER RD MPH

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1861922767

Individual Registrant:
MS. GERI  BREWSTER RD MPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
274 OLD SIB RD  RIDGEFIELD, CT 06877-2316 US
Tel: 914-864-1976  Fax: 914-864-1967

Contact information for business:
26 CATOONAH ST UNIT 115  RIDGEFIELD, CT 06877-7705 US
Tel: 914-864-1976  Fax: 914-864-1967

Registration Information:
NPI: 1861922767
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CTR637092

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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