Provider Demographics
NPI:1689445561
Name:THE NUTRITION ATTACHE
Entity Type:Organization
Organization Name:THE NUTRITION ATTACHE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:ST PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:CNS LDN
Authorized Official - Phone:212-589-8902
Mailing Address - Street 1:248 THORNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2601
Mailing Address - Country:US
Mailing Address - Phone:212-589-8902
Mailing Address - Fax:
Practice Address - Street 1:1200 HIGH RIDGE RD STE FL2
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1223
Practice Address - Country:US
Practice Address - Phone:212-589-8902
Practice Address - Fax:646-904-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty