Provider Demographics
NPI:1417521956
Name:ENJOY FOOD. ENJOY LIFE.
Entity Type:Organization
Organization Name:ENJOY FOOD. ENJOY LIFE.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:212-729-0327
Mailing Address - Street 1:185 W PARK AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3328
Mailing Address - Country:US
Mailing Address - Phone:212-729-0327
Mailing Address - Fax:
Practice Address - Street 1:185 W PARK AVE APT 208
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3328
Practice Address - Country:US
Practice Address - Phone:212-729-0327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty