| NPI | 1568823813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RAFAILOVA Registered Dietitian 917-498-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008397) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |