Individual
MS. LAURIE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
110 E 59TH ST, NEW YORK, NY 10022-1304
(917) 834-7337
Mailing address
5001 GOODRIDGE AVE, BRONX, NY 10471-2912
(718) 884-1750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005233
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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