Individual
JOAN STOLLBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
202 FOX HILL DR, CALVERTON, NY 11933-9503
(631) 979-9512
(631) 979-9512
Mailing address
202 FOX HILL DR, CALVERTON, NY 11933-9503
(631) 979-9512
(631) 979-9512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003655-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2211060
OXFORD
NY
Enumeration date
02/26/2007
Last updated
01/08/2019
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