Provider Demographics
NPI:1285058107
Name:KONTOSNUTRITION INC.
Entity type:Organization
Organization Name:KONTOSNUTRITION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SPYRIDON
Authorized Official - Middle Name:N
Authorized Official - Last Name:KONTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:212-865-0701
Mailing Address - Street 1:425 CENTRAL PARK W
Mailing Address - Street 2:SUITE # 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4381
Mailing Address - Country:US
Mailing Address - Phone:212-865-0701
Mailing Address - Fax:212-865-0788
Practice Address - Street 1:425 CENTRAL PARK W
Practice Address - Street 2:SUITE # 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4381
Practice Address - Country:US
Practice Address - Phone:212-865-0701
Practice Address - Fax:212-865-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006916133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty