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

Nutrition Clinic

Organization Family Medicine Physician · NPI 1578624078

Nutrition Clinic is a Family Medicine Physician in Elmira, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1003 Walnut St
Elmira, NY 14901
Phone: (607) 732-5646
Fax: (607) 732-0373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1578624078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Jenkins — Program Manager · (607) 732-5646
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1003 Walnut Street, Elmira, NY 14901

Other providers in Elmira