Individual
MRS. ANDREA L ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, RD, CDN
Contact information
Practice address
255 W 92ND ST, SUITE 2B, NEW YORK, NY 10025-7342
(212) 595-9556
Mailing address
14 SOUNDVIEW AVE, UNIT 4, WHITE PLAINS, NY 10606-3327
(212) 595-9556
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
916224
NY
133V00000X
Registered Dietitian
Primary
916224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005786-1
CERTIFIED DIETITIAN-NUTRI
NY
01
—
916224
REGISTERED DIETITIAN
—
Enumeration date
05/23/2007
Last updated
02/01/2011
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