Provider Demographics
NPI:1780791848
Name:WEBER-MINOR, BRANDY DAWN (RD,CD-N)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:DAWN
Last Name:WEBER-MINOR
Suffix:
Gender:F
Credentials:RD,CD-N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5564 HORN RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-9304
Mailing Address - Country:US
Mailing Address - Phone:585-374-9224
Mailing Address - Fax:
Practice Address - Street 1:76 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-0810
Practice Address - Country:US
Practice Address - Phone:607-664-4715
Practice Address - Fax:607-664-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered