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NPI Code Detail

MEDICARE: JASMINE HORMATI NUTRITION PLLC

MEDICARE: JASMINE HORMATI NUTRITION PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1033863469
Entity Type Code : Organization
Provider Name (Legal Business Name) : JASMINE HORMATI NUTRITION PLLC
Provider Business Mailing Address
First Line : 405 EDGECOMBE AVE APT E4
Second Line :
City : NEW YORK
State : NY
Zip : 10032-8019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 851 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-4436
Country : US
Telephone Number : 917-719-0019
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JASMINE HORMATI
Credential : MS, RD, CDN
Telephone Number : 310-897-6097
Provider Enumeration Date : 02/04/2022
Last Update Date : 06/26/2025

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