Provider Demographics
NPI:1962018937
Name:SCHIZ, ANGELA CLAIRE (NDTR)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CLAIRE
Last Name:SCHIZ
Suffix:
Gender:F
Credentials:NDTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BALANCE 3H PLUS MEDICAL WEIGHT LOSS CENTER
Mailing Address - Street 2:450 MAMARONECK AVE SUITE #413
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528
Mailing Address - Country:US
Mailing Address - Phone:914-703-4811
Mailing Address - Fax:914-703-4810
Practice Address - Street 1:BALANCE 3H PLUS MEDICAL WEIGHT LOSS CENTER
Practice Address - Street 2:450 MAMARONECK AVE SUITE #413
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528
Practice Address - Country:US
Practice Address - Phone:914-703-4811
Practice Address - Fax:914-703-4810
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY884754133VN1201X, 136A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, RegisteredGroup - Single Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty