Provider Demographics
NPI:1114222718
Name:PLUS ONE HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:PLUS ONE HEALTH MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZEK
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:212-902-0705
Mailing Address - Street 1:75 MAIDEN LN
Mailing Address - Street 2:SUITE 801
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 WEST ST
Practice Address - Street 2:FLOOR 10
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-2102
Practice Address - Country:US
Practice Address - Phone:212-902-0705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty