Provider Demographics
NPI:1689942203
Name:BIG APPLE NUTRITION GROUP, INC
Entity Type:Organization
Organization Name:BIG APPLE NUTRITION GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANZESE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:646-317-7508
Mailing Address - Street 1:120 W PARK AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3301
Mailing Address - Country:US
Mailing Address - Phone:516-807-8787
Mailing Address - Fax:
Practice Address - Street 1:19 W 69TH ST
Practice Address - Street 2:SUITE 706
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4737
Practice Address - Country:US
Practice Address - Phone:516-807-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY003887251E00000X, 253Z00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care