Healthcare Provider Details

I. General information

NPI: 1043501505
Provider Name (Legal Business Name): NUTRITION SENSE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 04/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BELLPORT LN
BELLPORT NY
11713-2751
US

IV. Provider business mailing address

PO BOX 89
BROOKHAVEN NY
11719-0089
US

V. Phone/Fax

Practice location:
  • Phone: 631-793-9654
  • Fax: 631-803-2978
Mailing address:
  • Phone: 631-793-9654
  • Fax: 631-803-2978

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: MARIA GABRIELA SCHARPF
Title or Position: CEO
Credential: RD
Phone: 631-803-2978