Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Clinical Nutrition Group

Organization Internal Medicine Physician · NPI 1770554230

Memorial Clinical Nutrition Group is an Internal Medicine Physician in New York, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1275 York Ave
New York, NY 10021-6007
Phone: (646) 227-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1770554230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Ryke — Manager · (646) 227-3650
NPI enumeratedJanuary 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address633 3rd Ave, Box 3, New York, NY 10017-6706

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