| NPI | 1093686990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCA ZIERVOGEL Chief Admin 646-305-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 2080B0002X Pediatrics Obesity Medicine | |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-10-01 |