Nutrisource Inc

LBN: Nutrisource Inc
Nutrisource Inc is an health care organization with primary practice located at 295 Northern Blvd Suite 105, Great Neck NY 11021-4706. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as the primary health care specialty. Nutrisource Inc can be contacted via phone (516) 482-3100, or through Pace, Nicolette M. via phone (516) 482-3100.

Contact Information

Primary practice address
295 Northern Blvd Suite 105 Great Neck NY 11021-4706
Phone: (516) 482-3100
Fax: (516) 482-3131
Website:
Map and Directions
Authorized official contact:
Name: Pace, Nicolette M. MS RD CDE CDN CFCS
Phone: (516) 482-3100

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 005258 New York

Profile Details

NPI number 1588857858
LBN Legal business name Nutrisource Inc
DBA Doing business as
Authorized official Pace, Nicolette M. MS RD CDE CDN CFCS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Nov 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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