Individual
JILL DANA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
110 E 59TH ST, SUITE 10D, NEW YORK, NY 10022-1304
(212) 583-2900
Mailing address
110 E 59TH ST, SUITE 10D, NEW YORK, NY 10022-1304
(212) 583-2900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VOOOOOX
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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