Provider Demographics
NPI:1033671169
Name:NUTRITIONAL PATTERNING INC
Entity Type:Organization
Organization Name:NUTRITIONAL PATTERNING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-500-5600
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-9998
Mailing Address - Country:US
Mailing Address - Phone:914-391-1274
Mailing Address - Fax:914-465-7586
Practice Address - Street 1:1086 NORTH BROADWAY
Practice Address - Street 2:SUITE 50
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-0007
Practice Address - Country:US
Practice Address - Phone:914-375-6400
Practice Address - Fax:914-465-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals