Healthcare Provider Details

I. General information

NPI: 1215730536
Provider Name (Legal Business Name): U8 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

578 NEPPERHAN AVE STE 534
YONKERS NY
10701-6600
US

IV. Provider business mailing address

578 NEPPERHAN AVE STE 534
YONKERS NY
10701-6600
US

V. Phone/Fax

Practice location:
  • Phone: 917-319-6722
  • Fax:
Mailing address:
  • Phone: 917-319-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MS. VIVIAN MORAN
Title or Position: CLINICAL NUTRITIONIST
Credential: CNS
Phone: 917-319-6722