| NPI | 1942957816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE BUSA CZARNECKI Registered Dietitian Nutritionist 315-663-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-05-12 |