Provider Demographics
NPI:1932093911
Name:SWEET NUTRITION NYC
Entity type:Organization
Organization Name:SWEET NUTRITION NYC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLYE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUSSERL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN ,CDCES
Authorized Official - Phone:914-474-0345
Mailing Address - Street 1:3544 KNIGHT ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3544 KNIGHT ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4616
Practice Address - Country:US
Practice Address - Phone:646-470-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty