Healthcare Provider Details

I. General information

NPI: 1982767539
Provider Name (Legal Business Name): CATHERINE M CAREY RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE M BRITTAN RDN

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 POTTER BLVD
BRIGHTWATERS NY
11718-1830
US

IV. Provider business mailing address

402 POTTER BLVD
BRIGHTWATERS NY
11718-1830
US

V. Phone/Fax

Practice location:
  • Phone: 631-587-1800
  • Fax:
Mailing address:
  • Phone: 631-587-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: