Individual
KIMBERLY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Contact information
Practice address
165 W END AVE, #1K, NEW YORK, NY 10023-5503
(212) 877-7043
Mailing address
253 W 72ND ST, #812, NEW YORK, NY 10023-2705
(917) 653-6824
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
006672-1
NY
133V00000X
Registered Dietitian
Primary
006672-1
NY
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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