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NPI Code Detail

MEDICARE: CHRISTY HARRISON MPH, RD

MEDICARE: CHRISTY HARRISON MPH, RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist008266NY
2133V00000XRegistered Dietitian1077241NY

General Provider Information

NPI Number : 1508277807
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY HARRISON MPH, RD
Provider Business Mailing Address
First Line : 159 20TH ST STE 1B
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-1254
Country : US
Telephone Number : 347-349-3698
Fax Number :
Provider Business Practice Location Address
First Line : 159 20TH ST STE 1B
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-1254
Country : US
Telephone Number : 347-349-3698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 01/18/2019

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