Provider Demographics
NPI:1528410818
Name:SCHELLER, BROOKE LEIGH (DCN, CNS)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:LEIGH
Last Name:SCHELLER
Suffix:
Gender:F
Credentials:DCN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 RIVINGTON ST APT A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2486
Mailing Address - Country:US
Mailing Address - Phone:732-773-1534
Mailing Address - Fax:
Practice Address - Street 1:137 RIVINGTON ST APT A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2486
Practice Address - Country:US
Practice Address - Phone:732-773-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education