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NPI Code Detail

MEDICARE: CHELSEA GOLUB MS, RD

MEDICARE: CHELSEA GOLUB MS, RD
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
1133V00000XRegistered Dietitian

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
185-1280213OTHERNYIRS

General Provider Information

NPI Number : 1386268514
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA GOLUB MS, RD
Provider Business Mailing Address
First Line : 180 W 20TH ST APT PHF
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3649
Country : US
Telephone Number : 862-377-5174
Fax Number :
Provider Business Practice Location Address
First Line : 180 W 20TH ST APT PHF
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3649
Country : US
Telephone Number : 862-377-5174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2020
Last Update Date : 06/03/2020

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Directions to “ CHELSEA GOLUB MS, RD” Practice Location

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