Individual
ELENA JOY BERGOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
51 ALDIE ST UNIT 1, ALLSTON, MA 02134-1307
(914) 539-5412
Mailing address
51 ALDIE ST UNIT 1, ALLSTON, MA 02134-1307
(914) 539-5412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4590-NU-NU
MA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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