Avital Greenbaum R.D., C.D.N

NPI 1700153616 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1700153616
Gender Female
Enumeration Date 11/20/2011
Last Updated 11/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
10225 67TH DR
APT 1G
FOREST HILLS NY, 11375-2860, US
Phone (201) 403-4125
Fax
Business Location
10225 67TH DR
APT 1G
FOREST HILLS NY, 11375-2860, US
Phone (201) 403-4125
Fax
Toxanomy
Taxonomy Code 133V00000X
License State New York
License Number 007133
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According to our database, Mrs. Avital Greenbaum R.D., C.D.N NPI is 1700153616, taxonomy code is 133V00000X and license number is 007133, license state is located at New York. Avital Greenbaum R.D., C.D.N physically located at 10225 67th Dr, Forest Hills NY, 11375-2860. NPI Number Avital Greenbaum R.D., C.D.N has the Individual type.

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1700153616 NPI number is provided on an as is basis without warranty of any kind. 1700153616 is maintained by the National Plan & Provider Enumeration System. The contents of Avital Greenbaum R.D., C.D.N are for informational purposes only.