Doctor Name: | MAUREEN GONZALEZ |
NPI Number: | 1831537455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.S.O., C.D.N. |
License Number: | 002846-1 |
Business Practice Address: | 5091 Amboy Rd Staten Island, NY - 103124722 |
Business Phone Number: | 7189842100 |
Business Fax Number: | 7183176582 |
Mailing Address: | 792 Bloomingdale Rd, STATEN ISLAND |
State: | NY |
Postal Code: | 103091604 |
Phone Number: | 7189483092 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2013 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 002846-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |