| NPI | 1790312411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RUBENSTEIN Registered Dietitian 516-317-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |