Organization
LCC NUTRITION GROUP, INC.
Active
Other names
Park Avenue Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA C. COHN RD (PRESIDENT)
(212) 831-7900
Entity
Organization
Contact information
Practice address
200 W 54TH ST, NEW YORK, NY 10019-5567
(646) 460-0181
Mailing address
200 W 54TH ST, NEW YORK, NY 10019-5567
(646) 460-0181
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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