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Individual

CHELSEA GOLUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
180 W 20TH ST APT PHF, NEW YORK, NY 10011-3649
(862) 377-5174
Mailing address
180 W 20TH ST APT PHF, NEW YORK, NY 10011-3649
(862) 377-5174

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85-1280213
IRS
NY
Enumeration date
06/03/2020
Last updated
06/03/2020
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