| NPI | 1700770518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIYA KHABIROVA Owner/Registered Dietitian 718-708-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-07-02 |