| NPI | 1003125691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELO RIVERA Outpatient Dietitian 646-641-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 006442) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |