| NPI | 1023431988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN NISTICO President/Consulting Reg Dietitian 631-425-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 002667-1) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 002667-1) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NY 002667-1) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |