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SUSAN BRODLIE MSRD CNSC NPI 1801177357


NPI Information

NPI: 1801177357
Provider Name: SUSAN BRODLIE, MSRD, CNSC
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Individual

Specialization: Nutrition, Pediatric

Address:
3959 BROADWAY
RM 703B
NEW YORK, NY
ZIP 10032
Phone: (212) 305-6225
Get Directions

Susan Brodlie, MSRD, CNSC is a nutrition and pediatric dietitian registered in New York, NY. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Susan Brodlie, MSRD, CNSC NPI is 1801177357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3959 BROADWAY
RM 703B
NEW YORK, NY
ZIP 10032-559
Phone: (212) 305-6225
Fax: (212) 342-4779

The enumeration date for this NPI number is 8/29/2011 and was last updated on 8/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1004XDietitian, RegisteredNutrition, Pediatric003807-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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