Provider Demographics
NPI:1669249819
Name:HEALTHY HORIZONS DIETETICS-NUTRITION PC
Entity type:Organization
Organization Name:HEALTHY HORIZONS DIETETICS-NUTRITION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:ZAHID
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN
Authorized Official - Phone:347-481-6434
Mailing Address - Street 1:33 TROSSACH RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2131
Mailing Address - Country:US
Mailing Address - Phone:347-481-6434
Mailing Address - Fax:
Practice Address - Street 1:33 TROSSACH RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2131
Practice Address - Country:US
Practice Address - Phone:347-481-6434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service