Restore & Elevate Nutrition Corp

NPI #1861108284 in Syosset, New York

Provider Information

NPI Number: 1861108284
Entity Type: Organization
Organization Name: Restore & Elevate Nutrition Corp
Primary Specialty: Dietitian, Registered
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 49 ARIZONA AVE
City: Syosset
State: New York
ZIP Code: 11791-3101
Phone: (631) 809-8727

Authorized Official

Name: STEPHANIE COELLO, MS RD CDN
Title: AUTHORIZED OFFICIAL
Phone: (631) 809-8727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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