Healthcare Provider Details

I. General information

NPI: 1801707591
Provider Name (Legal Business Name): DAILY BURN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111B S GOVERNORS AVE # 6308
DOVER DE
19904-6903
US

IV. Provider business mailing address

1111B S GOVERNORS AVE # 6308
DOVER DE
19904-6903
US

V. Phone/Fax

Practice location:
  • Phone: 860-716-8306
  • Fax:
Mailing address:
  • Phone: 860-716-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: NATHANIEL COHEN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 860-716-8306