Provider Demographics
NPI:1396570024
Name:NUTRITION HABITS PLLC
Entity type:Organization
Organization Name:NUTRITION HABITS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:347-265-1148
Mailing Address - Street 1:2944 W 5TH ST APT 14S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3844
Mailing Address - Country:US
Mailing Address - Phone:347-265-1148
Mailing Address - Fax:855-817-0064
Practice Address - Street 1:745 5TH AVE STE 500
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10151-0099
Practice Address - Country:US
Practice Address - Phone:347-265-1148
Practice Address - Fax:855-817-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty