Provider Demographics
NPI:1750071346
Name:LIBBY ROTHSCHILD LLC
Entity type:Organization
Organization Name:LIBBY ROTHSCHILD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:646-620-3997
Mailing Address - Street 1:LIBBY ROTHSCHILD
Mailing Address - Street 2:3495 US HIGHWAY 1 STE 34 #1326
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:646-620-3997
Mailing Address - Fax:
Practice Address - Street 1:LIBBY ROTHSCHILD
Practice Address - Street 2:3495 US HIGHWAY 1 STE 34 #1326
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:646-620-3997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty