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

Nutriall Wellness Center LLC

Organization Registered Dietitian · NPI 1053033365

Nutriall Wellness Center LLC is a Registered Dietitian in Bayside, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3347 213th St
Bayside, NY 11361-1560
Phone: (929) 777-4933
Fax: (888) 370-1981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X

Record details

NPI number1053033365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xiaofang Tan — Registered Dietitian · (929) 777-4933
Other names Nutriall Wellness Center
NPI enumeratedSeptember 13, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address3347 213th St, Bayside, NY 11361-1560

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