| NPI | 1871280818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEN AO DANA WANG Md 347-979-7798 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-21 |