| NPI | 1700805751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA HARTOFILIS Director Of Billing 718-661-8711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 005425-1) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-02-07 |