Nutrisource Inc in Great Neck - Nutrition, Metabolic
Nutrisource Inc - NPI 1588857858
Nutrisource Inc is a Nutrition, Metabolic in Great Neck, New York. Nutrisource Inc practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Nutrisource Inc is 1588857858. The last update date is 2011-11-22.
Nutrisource Inc's current location address is 295 Northern Blvd, Great Neck, New York. You can contact this provider via phone number 5164823100 and fax number 5164823131. The mailing address for Nutrisource Inc is 295 Northern Blvd, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nutrisource Inc |
|---|---|
| Address | 295 Northern Blvd, Great Neck, New York |
| Phone Number | 5164823100 |
| Fax Number | 5164823131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pace M. Nicolette |
| Credentials | MS RD CDE |
| Telephone Number | 5164823100 |
NPI Number Detail
| NPI Number | 1588857858 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2011-11-22 |
Provider Mailing Address Detail
| Address | 295 Northern Blvd |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110214706 |
| Phone Number | 5164823100 |
| Fax Number | 5164823131 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 5258 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nutrisource Inc by the Centers for Medicare & Medicaid Services?
The Nutrisource Inc has been assigned the NPI (National Provider Identifier) 1588857858 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Nutrisource Inc's facilities are geographically located?
The facilities of Nutrisource Inc are physically situated at the following location: 295 Northern Blvd, Great Neck, NY, 110214706.
What is Nutrisource Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nutrisource Inc's area of specialization is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this field of practice is 133Vn1006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588857858 to Nutrisource Inc?
The Centers for Medicare & Medicaid Services originally issued the 1588857858 to Nutrisource Inc on 2007-08-21.
As of what date was the information regarding Nutrisource Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nutrisource Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-22.