Organization
212 NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PASTUKHOVA RDN (OWNER)
(929) 990-6744
Entity
Organization
Contact information
Practice address
99 WALL ST STE 3303, NEW YORK, NY 10005-4301
(201) 283-8551
Mailing address
520 W 174TH ST APT 4B, NEW YORK, NY 10033-8734
(929) 990-6744
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
05/22/2024
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