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

Vital Balance Nutrition LLC

Organization Registered Dietitian · NPI 1700770518

Vital Balance Nutrition LLC provides Registered Dietitian services in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
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

108 W 39th St Rm 1006
New York, NY 10018-8265
Phone: (718) 708-9994
Fax: (646) 436-7797
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1700770518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anastasiya Khabirova — Owner/Registered Dietitian · (718) 708-9994
NPI enumeratedJune 5, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address320 Adolphus Ave Apt 801, Cliffside Park, NJ 07010-2890

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