Search › New York › 133V00000X
Brooke Decelles, MS, RD, CDN
NPI 1770171191 · on the registry since 2021 · sole proprietor
Practice
- Address
- 200 Market Street
Ste 5 Pmb 112
Potsdam, NY 13676 - Phone
- (315) 528-4711
- Organisation at this address
- Kph Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 10 Main Street, Waddington, NY
- 55 Union Place, Summit, NJ
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
133V00000X - Licence states on file
- NY, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York