Provider Demographics
NPI:1225337736
Name:HARMONY DIET AND NUTRITION CONCEPT PC
Entity Type:Organization
Organization Name:HARMONY DIET AND NUTRITION CONCEPT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS,RD,CDN
Authorized Official - Prefix:MS
Authorized Official - First Name:FOLUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-501-3200
Mailing Address - Street 1:18636 JORDAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2308
Mailing Address - Country:US
Mailing Address - Phone:718-501-3200
Mailing Address - Fax:
Practice Address - Street 1:18817 JAMAICA AVE
Practice Address - Street 2:HOLLIS
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2511
Practice Address - Country:US
Practice Address - Phone:718-501-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006648133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty