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

New York Dietetic and Registered Professional Nurse PLLC

Organization Counselor · NPI 1427688266

New York Dietetic and Registered Professional Nurse PLLC is a Counselor in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

804 W 180th St Apt 24
New York, NY 10033-3509
Phone: (201) 674-4114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Registered Nurse (primary) Taxonomy 163WN1003X
Counselor Taxonomy 101Y00000X
Registered Dietitian Taxonomy 133V00000X
Registered Nurse Taxonomy 163W00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1427688266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hymson — Owner · (201) 674-4114
NPI enumeratedJanuary 21, 2020
Last updated in NPPESOctober 18, 2020
Certification dateOctober 18, 2020
Mailing address804 W 180th St Apt 24, New York, NY 10033-3509

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