| NPI | 1790531069 |
|---|---|
| Doing Business As | BASIC SIX FUNCTIONAL NUTRITION PLLC |
| Entity Type | Organization |
| Authorized Contact | ABBY WALKER Registered Dietitian Nutritionist 516-732-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |