Individual
GARRETT JAMES ATHENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CNS
Contact information
Practice address
68 E 22ND ST, HUNTINGTON STATION, NY 11746-3240
(631) 629-9501
(631) 629-9501
Mailing address
68 E 22ND ST, HUNTINGTON STATION, NY 11746-3240
(631) 629-9501
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NY
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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