| Doctor Name: | PROF. NICOLETTE M PACE |
| NPI Number: | 1417928821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,RD, CDE,CDN, CFCS |
| License Number: | 005258-1 |
| Business Practice Address: | 295 Northern Blvd Ste 105 Great Neck, NY - 110214706 |
| Business Phone Number: | 5164823100 |
| Business Fax Number: | 5164823131 |
| Mailing Address: | 295 Northern Blvd, Ste 105 GREAT NECK |
| State: | NY |
| Postal Code: | 110214706 |
| Phone Number: | 5164823100 |
| Fax Number: | 5164823131 |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 11/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 005258-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |