Provider Demographics
NPI:1831760198
Name:BRUNJES, ARIANA CATHERINE (MS RD CDN CNSC CDCES)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:CATHERINE
Last Name:BRUNJES
Suffix:
Gender:F
Credentials:MS RD CDN CNSC CDCES
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:CATHERINE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS RD CDN CNSC CDCES
Mailing Address - Street 1:61 UTTERBY RD
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1719
Mailing Address - Country:US
Mailing Address - Phone:516-382-5814
Mailing Address - Fax:516-382-5814
Practice Address - Street 1:61 UTTERBY RD
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1719
Practice Address - Country:US
Practice Address - Phone:516-382-5814
Practice Address - Fax:516-382-5814
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NY009980133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty