Provider Demographics
NPI:1700270931
Name:KOHN, BRITTANY (RD, CDN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KOHN
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 66TH ST
Mailing Address - Street 2:APT D1702
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-9175
Mailing Address - Country:US
Mailing Address - Phone:561-289-0403
Mailing Address - Fax:
Practice Address - Street 1:200 E 66TH ST
Practice Address - Street 2:APT D1702
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-9175
Practice Address - Country:US
Practice Address - Phone:561-289-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86003140133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered