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Organization

LIVE WISE NUTRITION PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA WONG (SOLE PROPRIETOR)
(347) 946-4245
Entity
Organization

Contact information

Practice address
16 BAY 8TH ST, BROOKLYN, NY 11228-3417
(347) 946-4245
Mailing address
16 BAY 8TH ST, BROOKLYN, NY 11228-3417
(347) 946-4245

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0065861
NY
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
07/13/2017
Last updated
07/21/2022
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