Organization Name: | ELIZABETH MADISON NUTRITION, PLLC |
NPI Number: | 1851785380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH M MADISON (CEO) |
Mailing Address: | 21910 S Conduit Ave Lower Level 1 Springfield Gardens |
State: | NY US |
Postal Code: | 114133462 |
Phone Number: | 7182766037 |
Fax Number: | 8559473783 |
NPI Enumeration Date: | 03/23/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00800548 |
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 |