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Organization
LCC NUTRITION GROUP, INC.
Active
Organization
LCC NUTRITION GROUP, INC.
Active
Other names
Park Avenue Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA C. COHN RD (PRESIDENT)
(212) 831-7900
Entity
Organization
Contact information
Practice address
200 W 54TH ST, NEW YORK, NY 10019-5567
(646) 460-0181
Mailing address
200 W 54TH ST, NEW YORK, NY 10019-5567
(646) 460-0181
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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