Theresa Brereton, MS,RD,CDN,CDE

NPI #1992070015 in Woodside, New York

Provider Information

NPI Number: 1992070015
Entity Type: Individual
Name: Theresa Brereton, MS,RD,CDN,CDE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS,RD,CDN,CDE
Enumeration Date: Mar 22, 2012
Last Updated: Mar 22, 2012

Practice Location

Address: 6110 QUEENS BLVD
Address 2: ESPRIT MEDICAL CARE
City: Woodside
State: New York
ZIP Code: 11377-5776
Phone: (718) 397-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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