Charles Brewster Jr., CDN, RDN
Dietitian, Registered in Bronx, NY. Individual provider (NPI-1).
NPI number1982166385
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1982166385
- Entity type
- Individual (NPI-1)
- Name
- Charles Brewster Jr.
- Credential
- CDN, RDN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2019
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86042647 | – | Yes |
Practice location
255 Fieldston Ter Apt 3fBronx, NY 10471-3024
Phone 917-359-6539
Mailing address
255 Fieldston Ter Apt 3fBronx, NY 10471-3024
Phone 917-359-6539
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