Healthcare Provider Details

I. General information

NPI: 1659275097
Provider Name (Legal Business Name): GOURMET MEALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 DOBBIN ST
BROOKLYN NY
11222-3110
US

IV. Provider business mailing address

58 DOBBIN ST
BROOKLYN NY
11222-3110
US

V. Phone/Fax

Practice location:
  • Phone: 212-921-4433
  • Fax:
Mailing address:
  • Phone: 212-921-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID WEISSMAN
Title or Position: GENERAL MANAGER
Credential:
Phone: 917-417-7199