Provider Demographics
NPI:1922572338
Name:GREAVES-PETERS, NATALIE H (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:H
Last Name:GREAVES-PETERS
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 RECTOR PL APT 910
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1219
Mailing Address - Country:US
Mailing Address - Phone:347-661-5912
Mailing Address - Fax:
Practice Address - Street 1:333 RECTOR PL APT 910
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1219
Practice Address - Country:US
Practice Address - Phone:347-661-5912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered