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NPI Code Detail

MEDICARE: MELAINIE ROGERS NUTRITION LLC

MEDICARE: MELAINIE ROGERS NUTRITION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian
2104100000XSocial Worker

General Provider Information

NPI Number : 1073905790
Entity Type Code : Organization
Provider Name (Legal Business Name) : MELAINIE ROGERS NUTRITION LLC
Provider Business Mailing Address
First Line : 112 W 27TH ST FL 7
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 112 W 27TH ST FL 7
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6240
Country : US
Telephone Number : 212-645-6903
Fax Number :
Authorized Official
Title or Position : FOUNDER AND EXECUTIVE DIRECTOR
Name : MS. MELAINIE ROGERS
Credential : MS RD
Telephone Number : 212-645-6903
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/04/2015

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Directions to “MELAINIE ROGERS NUTRITION LLC ” Practice Location

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