Provider Demographics
NPI:1114154689
Name:ROSENSTOCK, NATALIE (MS, RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:
Last Name:ROSENSTOCK
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E 73RD ST
Mailing Address - Street 2:#19G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4307
Mailing Address - Country:US
Mailing Address - Phone:212-535-3388
Mailing Address - Fax:
Practice Address - Street 1:250 E 73RD ST
Practice Address - Street 2:#19G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4307
Practice Address - Country:US
Practice Address - Phone:212-535-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY948784133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered