Provider Demographics
NPI:1649157306
Name:GOLDMAN, CAROLINA SCHNEIDER (MS, RD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:SCHNEIDER
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 FRONT ST APT 606
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-7872
Mailing Address - Country:US
Mailing Address - Phone:239-778-6954
Mailing Address - Fax:
Practice Address - Street 1:218 FRONT ST APT 606
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-7872
Practice Address - Country:US
Practice Address - Phone:239-778-6954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86152877133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered