Organization
NEW YORK DIETETIC AND REGISTERED PROFESSIONAL NURSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA HYMSON (OWNER)
(201) 674-4114
Entity
Organization
Contact information
Practice address
804 W 180TH ST APT 24, NEW YORK, NY 10033-3509
(201) 674-4114
Mailing address
804 W 180TH ST APT 24, NEW YORK, NY 10033-3509
(201) 674-4114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
163WN1003X
Nutrition Support Registered Nurse
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/21/2020
Last updated
10/18/2020
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