Provider Demographics
NPI:1922618347
Name:NEAT HEALTH
Entity Type:Organization
Organization Name:NEAT HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MYLONAS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN
Authorized Official - Phone:917-757-4639
Mailing Address - Street 1:21408 23RD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1601
Mailing Address - Country:US
Mailing Address - Phone:917-757-4639
Mailing Address - Fax:
Practice Address - Street 1:21408 23RD AVE APT 2
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-1601
Practice Address - Country:US
Practice Address - Phone:917-757-4639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-01
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty