=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023160744
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JEANNE EDITH D'BRANT DC, DACBN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 TIMBERPOINT DR.
-----------------------------------------------------
City | FORT SALONGA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11768-2224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-757-1324
-----------------------------------------------------
Fax | 631-757-1368
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 TIMBERPOINT DR.
-----------------------------------------------------
City | FORT SALONGA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11768-2224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-757-1324
-----------------------------------------------------
Fax | 631-757-1368
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NN1001X
-----------------------------------------------------
Taxonomy Name | Nutrition Chiropractor
-----------------------------------------------------
License Number | X004913-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 133N00000X
-----------------------------------------------------
Taxonomy Name | Nutritionist
-----------------------------------------------------
License Number | 003765-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------