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NPI Code Detail

MEDICARE: MS. CATHERINE GOLUB RDN

MEDICARE:  MS. CATHERINE  GOLUB  RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1501XSports Dietetics Nutrition Registered Dietitian002367-01NY

General Provider Information

NPI Number : 1487229696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE GOLUB RDN
Provider Business Mailing Address
First Line : 13 DUNNINGS DR
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5028
Country : US
Telephone Number : 914-960-3269
Fax Number :
Provider Business Practice Location Address
First Line : 13 DUNNINGS DR
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5028
Country : US
Telephone Number : 914-960-3269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 05/21/2021

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Directions to “ MS. CATHERINE GOLUB RDN” Practice Location

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