Individual
MRS. LOURDES RODRIGUEZ-EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
165 CELLER AVE, NEW HYDE PARK, NY 11040-2058
(516) 270-3879
(516) 216-5749
Mailing address
165 CELLER AVE, NEW HYDE PARK, NY 11040-2058
(516) 270-3879
(516) 216-5749
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005805-1
NY
Other
Enumeration date
12/27/2009
Last updated
12/27/2009
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