Individual
SCOTT ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1642 49TH ST, BROOKLYN, NY 11204-1133
(516) 732-1965
Mailing address
1642 49TH ST, BROOKLYN, NY 11204-1133
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007492-1
NY
133V00000X
Registered Dietitian
Primary
007492-1
NY
Other
Enumeration date
04/24/2013
Last updated
09/04/2013
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