Colleen McGibney, MS, RD, CDN
Dietitian, Registered in Great Neck, NY. Individual provider (NPI-1).
NPI number1790338697
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1790338697
- Entity type
- Individual (NPI-1)
- Name
- Colleen McGibney
- Credential
- MS, RD, CDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2019
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86060497 | – | Yes |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 86060497 | – |
Practice location
11 Schenck Ave Apt 3dGreat Neck, NY 11021-3606
Phone 631-375-4628
Mailing address
11 Schenck Ave Apt 3dGreat Neck, NY 11021-3606
Phone 631-375-4628
Other practice locations
596 Broadway Ste 302
New York, NY 10012-3396
New York, NY 10012-3396
Phone 800-571-8276 · Fax 888-974-0289
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