Organization
LIFEWAYS NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANN CARDILE M.S., CDN (CLINICAL NUTRITION MANAGER)
(646) 520-9751
Entity
Organization
Contact information
Practice address
261 E 78TH ST, 6TH FLOOR, NEW YORK, NY 10075-1216
(646) 520-9751
Mailing address
170 E 89TH ST, SUITE 4E, NEW YORK, NY 10128-2311
(646) 386-7745
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
002215
NY
Other
Enumeration date
07/25/2013
Last updated
03/01/2016
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