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General NPI Number Information
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NPI Number | 1346100757
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Entity Type | Organization
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Legal Business Name | MOMENTUM NUTRITION NY PLLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 35 CROOKED HILL RD STE 103C
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City | COMMACK
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State | NY
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Zip | 11725-5411
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Country | US
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Telephone | 917-502-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RITA CRES
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City | COMMACK
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State | NY
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Zip | 11725-5217
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Country | US
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Telephone | 917-502-7131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JESSICA R ABRAMS
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Credential | MS, RD, CDN
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Telephone | 917-502-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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