| NPI | 1053486407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE RENEE GILLER President Registered Dietitian 516-486-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000251) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |