212 Nutrition LLC
Dietitian, Registered in New York, NY. Organization (NPI-2).
NPI number1710668546
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1710668546
- Entity type
- Organization (NPI-2)
- Legal business name
- 212 Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2023
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
99 Wall St Ste 3303New York, NY 10005-4301
Phone 201-283-8551
Mailing address
520 W 174th St Apt 4bNew York, NY 10033-8734
Phone 929-990-6744
Authorized official
Maria Pastukhova
Owner
9299906744
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