Organization
RACER'S EDGE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RUBENSTEIN MS, RD, CSSD, CDE (REGISTERED DIETITIAN)
(516) 317-9216
Entity
Organization
Contact information
Practice address
3075 S ELM ST, DENVER, CO 80222-7352
(516) 317-9216
Mailing address
3075 S ELM ST, DENVER, CO 80222-7352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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