Individual
NIKKI GOLDBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
2585 ROUTE 212, WOODSTOCK, NY 12498
(845) 679-8561
(845) 679-5573
Mailing address
PO BOX 87, WOODSTOCK, NY 12498-0087
(845) 679-8561
(845) 679-5573
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706
LISCENSE
NY
Enumeration date
06/05/2007
Last updated
07/08/2007
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