Individual
TANYA MARTON-BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
123 GROVE AVE, SUITE 100, CEDARHURST, NY 11516-2322
(516) 458-4070
Mailing address
123 GROVE AVE, SUITE 100, CEDARHURST, NY 11516-2322
(516) 458-4070
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005930-1
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
005930-1
NY
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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