Provider Demographics
NPI:1700603958
Name:GOLDSTEIN, GALINA FROIM (RDN)
Entity type:Individual
Prefix:
First Name:GALINA
Middle Name:FROIM
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523B E 85TH ST APT 3W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7463
Mailing Address - Country:US
Mailing Address - Phone:917-566-3829
Mailing Address - Fax:
Practice Address - Street 1:523B E 85TH ST APT 3W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7463
Practice Address - Country:US
Practice Address - Phone:917-566-3829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered