Organization
GEORGETOWN FITNESS INC
Active
Other names
Georgetown Fitness Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JACOBS JR. (OWNER)
(607) 280-3441
Entity
Organization
Contact information
Practice address
5225 SHERIDAN DR, WILLIAMSVILLE, NY 14221-3573
(716) 580-3362
Mailing address
5225 SHERIDAN DR, WILLIAMSVILLE, NY 14221-3573
(607) 280-3441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010418-01
NY STATE CERTIFICATION
NY
Enumeration date
12/30/2020
Last updated
01/25/2021
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