Individual
MRS. JOCELYN MARLA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDE CDN
Contact information
Practice address
30 HEMPSTEAD AVE STE 154-L, ROCKVILLE CENTRE, NY 11570-4033
(516) 593-1211
(516) 593-2442
Mailing address
30 HEMPSTEAD AVE STE 154-L, ROCKVILLE CENTRE, NY 11570-4033
(516) 593-1211
(516) 593-2442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
824145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2191146
UNITED
NY
01
—
3857823003
CIGNA
NY
01
—
7097381
AETNA
NY
01
—
JG003P742
BCBS
NY
01
—
P2574753
OXFORD
NY
Enumeration date
01/11/2007
Last updated
03/09/2020
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