Individual
LEAH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
757 GILBERT PL, VALLEY STREAM, NY 11581-3125
(646) 530-1453
Mailing address
757 GILBERT PL, VALLEY STREAM, NY 11581-3125
(646) 530-1453
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007781
NY
Other
Enumeration date
11/06/2013
Last updated
02/12/2015
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