| NPI | 1639697667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VIVIAN DYE Owner / Manager 646-593-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 00963080) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |