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MS. KIMBERLY NEIDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8817
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8817

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002742
NY

Other

Enumeration date
04/28/2023
Last updated
06/06/2024
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