NPI | 1578999017 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MOSKOVITZ Owner 732-598-7221 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-09-16 |
Last Update Date | 2023-06-19 |