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

Gloria Patricia Mack, NDTR

Individual provider Registered Dietetic Technician · NPI 1780480244

Gloria Patricia Mack, NDTR is a Registered Dietetic Technician in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 584-9000
Show map & directions

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

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X

Record details

NPI number1780480244
Entity typeIndividual (Type 1)
GenderFemale
Credentials NDTR
Sole proprietorYes
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

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