Organization
CC NUTRITION & FITNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE COEN RD (CEO)
(516) 242-1866
Entity
Organization
Contact information
Practice address
143 HUNTER RIDGE RD N, MASSAPEQUA, NY 11758-2708
(516) 242-1866
Mailing address
143 HUNTER RIDGE RD N, MASSAPEQUA, NY 11758-2708
(516) 242-1866
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021951
.
NY
Enumeration date
01/27/2022
Last updated
01/27/2022
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