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Organization
THE CENTER FOR CANCER LIFESTYLE MANAGEMENT
Active
Organization
THE CENTER FOR CANCER LIFESTYLE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CINDY D NESS PHD (FOUNDER AND EXECUTIVE DIRECTOR)
(917) 450-4625
Entity
Organization
Contact information
Practice address
308 W 97TH ST APT 4, NEW YORK, NY 10025-6123
(917) 450-4625
Mailing address
308 W 97TH ST APT 4, NEW YORK, NY 10025-6123
(917) 450-4625
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
NULL
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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