Brandee Ellis
Dietitian, Registered in New York, NY. Individual provider (NPI-1).
NPI number1669979100
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1669979100
- Entity type
- Individual (NPI-1)
- Name
- Brandee Ellis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86003216 | NY | Yes |
Practice location
15 Sickles St Apt 2dNew York, NY 10040-1640
Phone 917-902-4604
Mailing address
15 Sickles St Apt 2dNew York, NY 10040-1640
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