Provider Demographics
NPI:1265052484
Name:C WHYTE NUTRITION SOLUTIONS, LLC
Entity type:Organization
Organization Name:C WHYTE NUTRITION SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:CORRESA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHYTE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:516-816-0126
Mailing Address - Street 1:189 HAZELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1211
Mailing Address - Country:US
Mailing Address - Phone:516-816-0126
Mailing Address - Fax:
Practice Address - Street 1:430 W MERRICK RD STE 16
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5201
Practice Address - Country:US
Practice Address - Phone:516-816-0126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty