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NPI Code Detail

MEDICARE: DIABETES FOR ONE, LLC

MEDICARE: DIABETES FOR ONE, LLC
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
1132700000XDietary Manager
2133NN1002XNutrition Education Nutritionist
3133V00000XRegistered Dietitian
4171400000XHealth & Wellness Coach
53336C0002XClinic Pharmacy
6171M00000XCase Manager/Care Coordinator
73336C0003XCommunity/Retail Pharmacy
8305S00000XPoint of Service
9133VN1201XObesity and Weight Management Nutrition Registered Dietitian

General Provider Information

NPI Number : 1215612957
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIABETES FOR ONE, LLC
Provider Business Mailing Address
First Line : 1810 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3706
Country : US
Telephone Number : 718-941-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1810 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3706
Country : US
Telephone Number : 718-941-2000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ZOYA PRITSKER
Credential : PHARMACIST
Telephone Number : 718-314-8001
Provider Enumeration Date : 06/20/2023
Last Update Date : 06/20/2023

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Directions to “DIABETES FOR ONE, LLC ” Practice Location

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