Provider Demographics
NPI:1477198331
Name:EAT WITH KNOWLEDGE
Entity Type:Organization
Organization Name:EAT WITH KNOWLEDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGURK
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN, CEDRD-S
Authorized Official - Phone:610-324-0630
Mailing Address - Street 1:105 VILLA RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1444
Mailing Address - Country:US
Mailing Address - Phone:610-324-0630
Mailing Address - Fax:610-324-0630
Practice Address - Street 1:99 MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3109
Practice Address - Country:US
Practice Address - Phone:845-535-9092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty