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99 Hudson St Fl 5 New York NY 10013-2993 | |
| (646) 443-6113 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 99 Hudson St Fl 5, New York, New York |
| Authorized Official Name and Position | Leoni Runge (OFFICER) |
| Authorized Official Contact | 6467055430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
99 Hudson St Fl 5 New York NY 10013-2993 Ph: () - | 99 Hudson St Fl 5 New York NY 10013-2993 Ph: (646) 443-6113 |
| NPI Number | 1568037257 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 12/03/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568037257 | NPI | - | NPPES |
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