Healthcare Provider Details

I. General information

NPI: 1245662162
Provider Name (Legal Business Name): MS NUTRITION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 W 32ND ST RM 1500
NEW YORK NY
10001
US

IV. Provider business mailing address

39 W 32ND ST RM 1500
NEW YORK NY
10001-3841
US

V. Phone/Fax

Practice location:
  • Phone: 917-566-4699
  • Fax: 888-782-5579
Mailing address:
  • Phone: 917-566-4699
  • Fax: 888-782-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number006503
License Number StateNY

VIII. Authorized Official

Name: MONIKA SAIGAL
Title or Position: PRESIDENT
Credential: RD, CDN
Phone: 917-566-4699