Provider Demographics
NPI:1467027383
Name:1DAYATATIME NUTRITION COUNSELING
Entity Type:Organization
Organization Name:1DAYATATIME NUTRITION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN
Authorized Official - Prefix:
Authorized Official - First Name:PAULINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BERISTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-836-3717
Mailing Address - Street 1:1412 MAIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2126
Mailing Address - Country:US
Mailing Address - Phone:973-836-3717
Mailing Address - Fax:
Practice Address - Street 1:1412 MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2126
Practice Address - Country:US
Practice Address - Phone:973-836-3717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty