Healthcare Provider Details

I. General information

NPI: 1033727987
Provider Name (Legal Business Name): F-FACTOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 E 55TH ST FL 27
NEW YORK NY
10022-3219
US

IV. Provider business mailing address

65 E 55TH ST FL 27
NEW YORK NY
10022-3219
US

V. Phone/Fax

Practice location:
  • Phone: 646-442-3904
  • Fax:
Mailing address:
  • Phone: 646-442-3904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TANYA ZUCKERBROT
Title or Position: CEO, FOUNDER, REGISTERED DIETITIAN
Credential: MS, RD
Phone: 646-442-3904