Healthcare Provider Details

I. General information

NPI: 1184954141
Provider Name (Legal Business Name): CARDIOMETABOLIC SUPPORT NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SHERWOOD AVE
GREENWICH CT
06831-3249
US

IV. Provider business mailing address

34 SHERWOOD AVE
GREENWICH CT
06831-3249
US

V. Phone/Fax

Practice location:
  • Phone: 212-583-1000
  • Fax:
Mailing address:
  • Phone: 212-583-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS J. ARONNE
Title or Position: CHIEF OPERATING OFFICER
Credential: MD
Phone: 212-583-1000