| NPI | 1548097819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI LEAVITT DAVIDSON President 516-433-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 171400000X | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |