Bsg Nutrition
Dietitian, Registered in Rego Park, NY. Organization (NPI-2).
NPI number1124734603
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1124734603
- Entity type
- Organization (NPI-2)
- Legal business name
- Bsg Nutrition
- Organization subpart
- No
- Enumeration date
- Jan 27, 2023
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
6295 Wetherole StRego Park, NY 11374-1564
Phone 908-797-9102
Mailing address
4315 46th St Apt E15Sunnyside, NY 11104-2078
Phone 908-797-9102
Authorized official
Rebecca Stanski Garcia
Owner
9087979102
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