Organization
VSC NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA STASIO COSTA RDN, CDN (OWNER/OPERATOR)
(781) 864-4645
Entity
Organization
Contact information
Practice address
1520 YORK AVE, APT 14G, NEW YORK, NY 10028-7008
(781) 864-4645
Mailing address
1520 YORK AVE, APT 14G, NEW YORK, NY 10028-7008
(781) 864-4645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008021
NY
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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