Provider Demographics
NPI:1487343844
Name:STEP NUTRITION LLC
Entity type:Organization
Organization Name:STEP NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELZAK
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:315-345-1363
Mailing Address - Street 1:PO BOX 15256
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-0256
Mailing Address - Country:US
Mailing Address - Phone:315-345-1363
Mailing Address - Fax:
Practice Address - Street 1:7393 TAFT PARK DR
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9639
Practice Address - Country:US
Practice Address - Phone:315-345-1363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty