Provider Demographics
NPI:1790302529
Name:NUTRITION FROM WITHIN PLLC
Entity Type:Organization
Organization Name:NUTRITION FROM WITHIN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSI
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDN
Authorized Official - Phone:516-263-6655
Mailing Address - Street 1:14 FIR DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1549
Mailing Address - Country:US
Mailing Address - Phone:516-263-6655
Mailing Address - Fax:
Practice Address - Street 1:14 FIR DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1549
Practice Address - Country:US
Practice Address - Phone:516-263-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-27
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty