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Individual
MRS. ANDREA L ROSENBERG
Active
Individual
MRS. ANDREA L ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
916224
NY
133V00000X
Registered Dietitian
Primary
916224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005786-1
CERTIFIED DIETITIAN-NUTRI
NY
01
—
916224
REGISTERED DIETITIAN
—
Enumeration date
05/23/2007
Last updated
02/01/2011
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