Provider Demographics
NPI:1902117724
Name:LIPKIND, NECHAMAH DINA (RD, CDN)
Entity Type:Individual
Prefix:
First Name:NECHAMAH
Middle Name:DINA
Last Name:LIPKIND
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 KIMBALL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5001
Mailing Address - Country:US
Mailing Address - Phone:718-908-8173
Mailing Address - Fax:718-686-2407
Practice Address - Street 1:1401 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4334
Practice Address - Country:US
Practice Address - Phone:718-908-8173
Practice Address - Fax:718-686-2407
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0014201133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist