Provider Demographics
NPI:1760728596
Name:IN GOOD HEALTH NUTRITION COUNSELING PLLC
Entity Type:Organization
Organization Name:IN GOOD HEALTH NUTRITION COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:516-633-1799
Mailing Address - Street 1:5 RODNEY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1015
Mailing Address - Country:US
Mailing Address - Phone:516-633-1799
Mailing Address - Fax:
Practice Address - Street 1:5 RODNEY LN
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1015
Practice Address - Country:US
Practice Address - Phone:516-633-1799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48007188133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty