Gravenese, Courtney Lee

Gravenese, Courtney Lee is an sole proprietor health care provider with primary practice located at 460 Bloomfield Ave , Montclair NJ 07042-3582. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gravenese, Courtney Lee can be contacted via phone (973) 734-0780.

Contact Information

Primary practice address
460 Bloomfield Ave Montclair NJ 07042-3582
Phone: (973) 734-0780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005045-1 New York

Profile Details

NPI number 1912064239
LBN Legal business name Gravenese, Courtney Lee
Credentials MS, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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