Provider Demographics
NPI:1699537381
Name:NUTRICATION LTD
Entity type:Organization
Organization Name:NUTRICATION LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BIAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:631-576-7204
Mailing Address - Street 1:19 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUND BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11789-2551
Mailing Address - Country:US
Mailing Address - Phone:631-576-7204
Mailing Address - Fax:
Practice Address - Street 1:19 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SOUND BEACH
Practice Address - State:NY
Practice Address - Zip Code:11789-2551
Practice Address - Country:US
Practice Address - Phone:631-576-7204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty