NPI | 1033609458 |
---|---|
Entity Type | Organization |
Authorized Contact | STEFANIA MEDVEDIK Owner 646-320-3244 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1096652) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 21510265) |
163W00000X Registered Nurse (Licence: NY 6000881) | |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-10 |