| NPI | 1013375526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H. LEWENSOHN Medical Credentialing 914-403-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 001002) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2020-09-15 |