Healthcare Provider Details

I. General information

NPI: 1013541358
Provider Name (Legal Business Name): MICHAEL EPSTEIN NUTRITION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 02/25/2020
Certification Date: 02/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3692 BEDFORD AVE APT 3E
BROOKLYN NY
11229-1712
US

IV. Provider business mailing address

3692 BEDFORD AVE APT 3E
BROOKLYN NY
11229-1712
US

V. Phone/Fax

Practice location:
  • Phone: 347-401-4028
  • Fax:
Mailing address:
  • Phone: 347-401-4028
  • 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: MICHAEL EPSTEIN
Title or Position: OWNER/RD
Credential: MS, RD, CDN
Phone: 347-401-4028