| NPI | 1558757682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BREWER Dietitian 212-470-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007812) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |