Individual
MRS. TERESIA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, 601 A, NEW YORK, NY 10032-1559
(212) 305-5717
(212) 304-5699
Mailing address
3959 BROADWAY, 601 A, NEW YORK, NY 10032-1559
(212) 305-5717
(212) 304-5699
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707539
REGISTERED DIETITIAN
—
Enumeration date
11/19/2009
Last updated
06/30/2011
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