| NPI | 1285153148 |
|---|---|
| Doing Business As | PARK AVENUE NUTRITION |
| Entity Type | Organization |
| Authorized Contact | LISA C. COHN President 212-831-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |