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

Organization Registered Dietitian · NPI 1285304204

My Fruitful Body Nutrition PLLC is a Registered Dietitian in Hicksville, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Princess St
Hicksville, NY 11801-1100
Phone: (516) 592-2974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 W 77th St Apt 2b, New York, NY 10024-6850 — (516) 592-2974

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1285304204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Houlie — Owner · (516) 592-2974
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address142 Princess St, Hicksville, NY 11801-1100

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