212 Nutrition PLLC
Dietitian, Registered in New York, NY. Organization (NPI-2).
NPI number1720891468
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1720891468
- Entity type
- Organization (NPI-2)
- Legal business name
- 212 Nutrition PLLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2025
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
99 Wall StrSuite #3303
New York, NY 10005
Phone 929-990-6744
Mailing address
99 Wall StrSuite #3303
New York, NY 10005
Authorized official
Maria Pastukhova
Owner
9299906744
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