Individual
MS. ANNE REBECCA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
803 STERLING PL, BROOKLYN, NY 11216-3903
(718) 804-0900
Mailing address
922 PRESIDENT ST, BROOKLYN, NY 11215-1695
(718) 399-2128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005971-1
NY
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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