Individual
MRS. AVITAL GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N
Contact information
Practice address
10225 67TH DR, APT 1G, FOREST HILLS, NY 11375-2860
(201) 403-4125
Mailing address
10225 67TH DR, APT 1G, FOREST HILLS, NY 11375-2860
(201) 403-4125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007133
NY
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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