| NPI | 1629442322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS KAGANOV President 201-724-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |