| NPI | 1558123729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON MIFTARI Owner/Registered Dietitian 718-916-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |