| NPI | 1033958350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA GORCZYCA Credentialing Specialist 718-741-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-06-03 |