Provider Demographics
NPI:1568203743
Name:SUNNY NUTRITION COUNSELING
Entity type:Organization
Organization Name:SUNNY NUTRITION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVESH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-957-1234
Mailing Address - Street 1:55 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1801
Mailing Address - Country:US
Mailing Address - Phone:516-957-1234
Mailing Address - Fax:
Practice Address - Street 1:55 ANDOVER RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1801
Practice Address - Country:US
Practice Address - Phone:516-957-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty