DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKE ANN MARIE DECELLES, MS, RD, CDN

Active Sole Proprietor

BROOKE ANN MARIE DECELLES, MS, RD, CDN is a Registered Dietitian healthcare provider located in POTSDAM, New York. NPI 1770171191 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · POTSDAM, NY

Registration Details

NPI Number
1770171191
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2021 (5.6051902016192 yrs)
Last Updated
Aug 15, 2024
Licenses
01031301 (NY)
DN007980 (PA)
010313-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
200 MARKET STREET
STE 5 PMB 112
POTSDAM, NY, 136761217
Browse NY providers · Browse ZIP 13676
Phone
3155284711
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in POTSDAM, NY

Name Credential NPI
LINDA HELENE BUCHANAN R,D 1467792192
CARMELINDA CLARK-BOUCHARD RD 1588060172
MARGARET MAGUIRE R.D. 1952795601
LAUREN ELIZABETH SMITH RD, CLC 1346609112
ALEXANDRIA FONS RDN, CD 1548800196
SARAH BERUBE RD 1477303832
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.