Provider Demographics
NPI:1447908272
Name:VOYNOV, MARGARET (REGISTERED DETITIAN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:VOYNOV
Suffix:
Gender:F
Credentials:REGISTERED DETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2935 W 5TH ST APT 7B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3921
Mailing Address - Country:US
Mailing Address - Phone:646-255-2148
Mailing Address - Fax:
Practice Address - Street 1:3711 LONG BEACH BLVD STE 904
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3324
Practice Address - Country:US
Practice Address - Phone:562-424-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007500133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered