Organization
VITAL BALANCE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIYA KHABIROVA RD, MS, CDCES (OWNER/REGISTERED DIETITIAN)
(718) 708-9994
Entity
Organization
Contact information
Practice address
108 W 39TH ST RM 1006, NEW YORK, NY 10018-8265
(718) 708-9994
(646) 436-7797
Mailing address
320 ADOLPHUS AVE APT 801, CLIFFSIDE PARK, NJ 07010-2890
(718) 708-9994
(646) 436-7797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
07/02/2025
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