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Organization
NUTRITION IN MOTION
Active
Organization
NUTRITION IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA RIVERA (PRESIDENT, REGISTERED DIETITIAN)
(516) 712-5475
Entity
Organization
Contact information
Practice address
31 BUHL LN, EAST NORTHPORT, NY 11731-5215
(516) 330-6040
(516) 548-5264
Mailing address
31 BUHL LN, EAST NORTHPORT, NY 11731-5215
(516) 548-5264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0791513
CIGNA
NY
01
—
952204
AETNA
NY
01
—
P4243637
OXFORD
NY
Enumeration date
02/01/2021
Last updated
02/01/2021
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