Individual
MS. MADELEINE ELISE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
26 WINTHROP DR, WOODBURY, NY 11797-1315
(516) 312-7565
Mailing address
26 WINTHROP DR, WOODBURY, NY 11797-1315
(516) 312-7565
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003019
NY
Other
Enumeration date
08/07/2009
Last updated
12/01/2009
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