Provider Demographics
NPI:1629442322
Name:NUTRITION & HEALTH CENTER INC.
Entity Type:Organization
Organization Name:NUTRITION & HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-724-6481
Mailing Address - Street 1:2050 CENTER AVE
Mailing Address - Street 2:SUITE # 325
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4996
Mailing Address - Country:US
Mailing Address - Phone:201-893-3402
Mailing Address - Fax:
Practice Address - Street 1:2050 CENTER AVE
Practice Address - Street 2:SUITE # 325
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4996
Practice Address - Country:US
Practice Address - Phone:201-893-3402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty