Provider Demographics
NPI:1467121798
Name:ABU, BRENDA ARIBA ZARHARI (PHD, MPHIL, RDN, CDN)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:ARIBA ZARHARI
Last Name:ABU
Suffix:
Gender:F
Credentials:PHD, MPHIL, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14428-9624
Mailing Address - Country:US
Mailing Address - Phone:806-790-0581
Mailing Address - Fax:
Practice Address - Street 1:WEGMANS SCHOOL OF HEALTH AND NUTRITION , COLLEGE OF HEA
Practice Address - Street 2:180 LOMB MEMORIAL DRIVE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1462
Practice Address - Country:US
Practice Address - Phone:585-475-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010256133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty