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Individual
COLLEEN MCGIBNEY
Active
Individual
COLLEEN MCGIBNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86060497
—
133VN1006X
Metabolic Nutrition Registered Dietitian
86060497
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009893
NEW YORK STATE REGISTRATION
NY
01
—
4945019
CIGNA
—
Enumeration date
07/19/2019
Last updated
12/18/2023
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