Individual
REBECCA BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4 PARK AVE APT 20H, NEW YORK, NY 10016-5314
(914) 815-0417
Mailing address
4 PARK AVE APT 20H, NEW YORK, NY 10016-5314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011169
NY
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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