| NPI | 1154930220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIYA PROKURAT Office Manager 718-304-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-08-17 |