Organization
FIT4D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL HOLLIDAY (CHIEF OPERATING OFFICER)
(866) 411-0254
Entity
Organization
Contact information
Practice address
205 E 42ND ST FL 15, NEW YORK, NY 10017-5751
(866) 411-0254
Mailing address
205 E 42ND ST FL 15, NEW YORK, NY 10017-5751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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