Provider Demographics
NPI:1437652369
Name:PARVANEH GOLBARI INC
Entity Type:Organization
Organization Name:PARVANEH GOLBARI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:PARVANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLBARI
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDN
Authorized Official - Phone:516-330-3970
Mailing Address - Street 1:47 STEPPING STONE LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1313
Mailing Address - Country:US
Mailing Address - Phone:516-330-3970
Mailing Address - Fax:516-482-3473
Practice Address - Street 1:6902 AUSTIN ST FL 2
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4250
Practice Address - Country:US
Practice Address - Phone:516-330-3970
Practice Address - Fax:516-482-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY943609133NN1002X
006441-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty