Individual
BONNIE KIM GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
850 HICKSVILLE RD, SUITE 104, SEAFORD, NY 11783-1300
(516) 798-0141
(516) 798-0694
Mailing address
850 HICKSVILLE RD, SUITE 104, SEAFORD, NY 11783-1300
(516) 798-0141
(516) 798-0694
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000872-1
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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