Organization
CAP NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHER A PASTORE MS RD CDE (OWNER)
(212) 532-1305
Entity
Organization
Contact information
Practice address
40 PARK AVE, NEW YORK, NY 10016-3467
(212) 532-1305
(212) 679-6160
Mailing address
40 PARK AVE, NEW YORK, NY 10016-3467
(212) 532-1305
(212) 679-6160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00559348
LICENSE NUMBER
NY
01
—
184616P
HIP PROVIDER #
NY
01
—
7113496
AETNA
NY
01
—
P2989242
OXFORD
NY
Enumeration date
05/30/2007
Last updated
08/22/2020
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