Individual
MS. SHANI JORDAN-GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
80 VANDERBILT AVE, BROOKLYN, NY 11205
(917) 690-2667
Mailing address
232 MACON ST APT 1, BROOKLYN, NY 11216-2453
(917) 690-2667
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008717
NY
Other
Enumeration date
10/23/2014
Last updated
08/27/2019
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