Nutrisource Inc
Nutrisource Inc is a Metabolic Nutrition Registered Dietitian in Great Neck, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
295 Northern Blvd Ste 105Great Neck, NY 11021-4706
Phone: (516) 482-3100
Fax: (516) 482-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Metabolic Nutrition Registered Dietitian (primary) | Taxonomy 133VN1006X · Licence 005258 (NY) |
|---|
Record details
| NPI number | 1588857858 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicolette Pace — President Managing Director · (516) 482-3100 |
| NPI enumerated | August 21, 2007 |
| Last updated in NPPES | November 22, 2011 |
| Mailing address | 295 Northern Blvd, Suite 105, Great Neck, NY 11021-4706 |
Other providers in Great Neck
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Mrs. Ilene Frischer
560 Northern Blvd SUITE207, Great Neck, NY 11021 · (516) 466-6165
-
Long Wellness Medical PLLC
1 Bond St, Great Neck, NY 11021-2408 · (516) 441-5880
-
Colleen McGibney, MS, RD, CDN
11 Schenck Ave Apt 3D, Great Neck, NY 11021-3606 · (631) 375-4628