Organization
NUTROSUN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY RAVESH MS RD (OWNER /PROVIDER)
(650) 476-3266
Entity
Organization
Contact information
Practice address
55 ANDOVER RD, ROSLYN HEIGHTS, NY 11577
(516) 957-1234
Mailing address
1410 NORTHERN BLVD,, #1050, MANHASSET, NY 11030-1050
(516) 957-1234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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