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Organization
NUTRITION IMPROVEMENT CENTER
Active
Organization
NUTRITION IMPROVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS R EPSTEIN (PRESIDENT)
(845) 362-1300
Entity
Organization
Contact information
Practice address
978 RTE. 45 NORTHSIDE PLAZA, SUITE 107, POMONA, NY 10970
(845) 362-1300
(845) 362-1308
Mailing address
978 RTE. 45 NORTHSIDE PLAZA, SUITE 107, POMONA, NY 10970
(845) 362-1300
(845) 362-1308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003101-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2184571
UNITED
NY
01
—
7248335
AETNA
NY
01
—
8099864
GHI
NY
01
—
9859218002
CIGNA
NY
01
—
P2524572
OXFORD
NY
Enumeration date
06/26/2007
Last updated
08/22/2020
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