Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Marlisa Brown, MSRDCDECDN

Individual provider Registered Dietitian · NPI 1871666941

MS. Marlisa Brown, MSRDCDECDN is a Registered Dietitian OR Nutrition Professional in Bay Shore, New York. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

160 Howells Rd
Bay Shore, NY 11706
Phone: (631) 666-4297
Fax: (631) 666-5284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 0006910 (NY)

Record details

NPI number1871666941
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRDCDECDN
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address160 Howells Rd, Bay Shore, NY 11706

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bay Shore