| NPI | 1750718201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE M NICOLAIDES Registered Dietitian 516-499-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005735.1) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |