| NPI | 1154579746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TIGUE Dietitian 845-598-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: NJ 26NC07813500) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-04-10 |