Christina M Doubrava, MSED, RD, CDN
Individual provider Active NPI Registered Dietitian · Westhampton Beach, NY
NPI 1831240076 · NPPES record last updated Jan 27, 2014
Key facts
- NPI
- 1831240076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 005130 (NY)
- Practice address
- 7 Seafield LN
Westhampton Beach, NY 11978-2714 - Phone
- (631) 288-1122
- Fax
- (631) 288-1638
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005130 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Diagnostic Centers, Inc. | Past | Accepting new patients | |
| New York Diagnostic Center Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005130 | NY | Yes |
Addresses
Primary practice location
7 Seafield LN
Westhampton Beach, NY 11978-2714
Mailing address
7 Seafield LN
Westhampton Beach, NY 11978-2714
Phone (631) 288-1122
Other providers in Westhampton Beach, NY
- Monje Michele Deas-Moore
- Melissa Delgaudio
- Mauro V. Dibenedetto
- Melissa Donegain
- Lacey Donlon
- Timothy Drum
- East End Hospice, Inc
- Alexander Erlikh
- Family Counseling Service
- Lauren Felsberg
All providers in Westhampton Beach, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.