Individual
GEORGIA ROUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 MADISON AVE FL 5, NEW YORK, NY 10016-6796
(646) 660-5661
Mailing address
76 N 4TH ST APT 509, BROOKLYN, NY 11249-3285
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/08/2017
Last updated
03/17/2018
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