Provider Demographics
NPI:1518685775
Name:DANIELLE SOBIESKI NUTRITION PLLC
Entity Type:Organization
Organization Name:DANIELLE SOBIESKI NUTRITION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBIESKI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:203-988-3361
Mailing Address - Street 1:78 PROSPECT PARK W APT 6A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3025
Mailing Address - Country:US
Mailing Address - Phone:203-988-3361
Mailing Address - Fax:646-558-4260
Practice Address - Street 1:36 PLAZA ST E STE 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5039
Practice Address - Country:US
Practice Address - Phone:646-933-3176
Practice Address - Fax:646-558-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY86046987OtherCDR
NY008634OtherCDN NY