| Nutrisource Inc | |
|
295 Northern Blvd, Suite 105, Great Neck, NY 11021-4706 | |
| (516) 482-3100 | |
| (516) 482-3131 |
| Full Name | Nutrisource Inc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 295 Northern Blvd, Great Neck, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588857858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 005258 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrisource Inc 295 Northern Blvd, Suite 105, Great Neck, NY 11021-4706 Ph: (516) 482-3100 | Nutrisource Inc 295 Northern Blvd, Suite 105, Great Neck, NY 11021-4706 Ph: (516) 482-3100 |
Mahtab Soleimanzadeh, RD, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 15 Whitman Rd, Great Neck, NY 11023 Phone: 516-851-0401 | |
Phylicia Ruggieri, MS, RD, CDN, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 55 Cuttermill Rd, Great Neck, NY 11021 Phone: 516-751-5736 Fax: 516-740-0285 | |
Ms. Lisa B Hayim, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1010 Northern Blvd Ste 208, Room 22, Great Neck, NY 11021 Phone: 516-428-6038 | |
Long Wellness Medical Pllc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Bond St, Great Neck, NY 11021 Phone: 516-441-5880 Fax: 516-441-5882 | |
Paige Christian Giordano, MS RD CDN, CNS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Tuddington Rd, Great Neck, NY 11023 Phone: 516-581-2217 | |
Ms. Shari Beth Batista, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Terrace Cir, Apt 1h, Great Neck, NY 11021 Phone: 631-261-4400 | |
Mrs. Ilene Frischer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 560 Northern Blvd Suite207, Great Neck, NY 11021 Phone: 516-466-6165 Fax: 516-466-6246 |