Provider Demographics
NPI:1740036532
Name:MZ NUTRITION, LLC
Entity type:Organization
Organization Name:MZ NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAKAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIOMEK
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:315-869-6212
Mailing Address - Street 1:143 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:ERVING
Mailing Address - State:MA
Mailing Address - Zip Code:01344-9734
Mailing Address - Country:US
Mailing Address - Phone:315-869-6212
Mailing Address - Fax:
Practice Address - Street 1:1 RIVER ST STE 104
Practice Address - Street 2:
Practice Address - City:ERVING
Practice Address - State:MA
Practice Address - Zip Code:01344-4403
Practice Address - Country:US
Practice Address - Phone:413-239-4232
Practice Address - Fax:413-707-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty