Provider Demographics
NPI:1811290331
Name:MARIA ALEXANDRA BELLA NUTRITION LLC
Entity type:Organization
Organization Name:MARIA ALEXANDRA BELLA NUTRITION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:BELLA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:212-433-0738
Mailing Address - Street 1:347 5TH AVE
Mailing Address - Street 2:SUITE 606
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5010
Mailing Address - Country:US
Mailing Address - Phone:212-433-0738
Mailing Address - Fax:646-807-4812
Practice Address - Street 1:347 5TH AVE
Practice Address - Street 2:SUITE 606
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5010
Practice Address - Country:US
Practice Address - Phone:212-433-0738
Practice Address - Fax:646-807-4812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1027549133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty