Organization
TOWN TOTAL NUTRITION, INC
Active
Other names
CRITICAL CARE NURSING STAFFING AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DITUSA (NURSING SUPERVISOR)
(516) 852-2667
Entity
Organization
Contact information
Practice address
532 BROADHOLLOW RD, SUITE 106, MELVILLE, NY 11747-3672
(516) 832-2667
(516) 832-2687
Mailing address
532 BROADHOLLOW RD, SUITE 106, MELVILLE, NY 11747-3672
(516) 832-2667
(516) 832-2687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9067L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522976
—
NY
Enumeration date
12/14/2006
Last updated
08/22/2020
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