INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC NPI 1942819834

NPI Information

NPI: 1942819834
Provider Name: INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
30 CENTRAL PARK S RM 4C
NEW YORK, NY
ZIP 10019
Phone: (212) 371-0360
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INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC is a nutrition and education nutritionist in New York, NY. INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC NPI is 1942819834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 CENTRAL PARK S RM 4C
NEW YORK, NY
ZIP 10019-628
Phone: (212) 371-0360

The provider's authorized official is Maryam Edalat .
The authorized official title is Owner and has the following contact phone number (212) 371-0360.

The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	122300000X	Dentist		No
3	133N00000X	Nutritionist		No
4	133NN1002X	Nutritionist	Nutrition, Education	Yes
5	208D00000X	General Practice		No
6	374U00000X	Home Health Aide		No
7	103K00000X	Behavior Analyst		No
8	405300000X	Prevention Professional		No
9	106E00000X	Assistant Behavior Analyst		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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