Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NUTRISOURCE INC
Active OrganizationNUTRISOURCE INC is a Metabolic Nutrition organization located in GREAT NECK, New York. NPI 1588857858 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · GREAT NECK, NY
Registration Details
- NPI Number
- 1588857858
- Provider Type
- Organization
- NPI Issued
- Aug 21, 2007 (19.022062042012 yrs)
- Last Updated
- Nov 22, 2011
- License
-
005258 (NY)
Practice Information
- Address
-
295 NORTHERN BLVDSUITE 105GREAT NECK, NY, 110214706Browse NY providers · Browse ZIP 11021
- Phone
- 5164823100
- Fax
- 5164823131
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.