Provider Demographics
NPI:1710917091
Name:ROBERT LAWRENCE HOWARD
Entity Type:Organization
Organization Name:ROBERT LAWRENCE HOWARD
Other - Org Name:MIDTOWN NUTRITION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:212-333-4243
Mailing Address - Street 1:119 W 57TH ST
Mailing Address - Street 2:STE. 1414
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2303
Mailing Address - Country:US
Mailing Address - Phone:212-333-4243
Mailing Address - Fax:212-333-3468
Practice Address - Street 1:119 W 57TH ST
Practice Address - Street 2:STE. 1414
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2303
Practice Address - Country:US
Practice Address - Phone:212-333-4243
Practice Address - Fax:212-333-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRH09662E10Medicare PIN