Provider Demographics
NPI:1740717115
Name:GREENWALD, ESTHER N (RD)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:N
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:N
Other - Last Name:SPERBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:920 E 17TH ST APT 405
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:920 E 17TH ST APT 405
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3726
Practice Address - Country:US
Practice Address - Phone:718-594-4575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86061047133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered