Organization
CENTERPORT FITNESS & NUTRITION CORP
Active
Other names
Forever Fit Health club
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE STRATTON RD, CDN, CSSD (OWNER)
(631) 271-7820
Entity
Organization
Contact information
Practice address
96 WASHINGTON DR, CENTERPORT, NY 11721-1817
(631) 271-7820
Mailing address
96 WASHINGTON DR, CENTERPORT, NY 11721-1817
(631) 271-7820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002532
NY
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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