OrganizationActive
Allergy Nutritionist LLC
NPI 1073378006 · Registered Dietitian · South Orange, NJ
Provider details
- NPI number
- 1073378006
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Ilana Dubrovsky-Razam, Owner(917) 399-0548
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
428 Prospect St
South Orange, NJ 07079-1832
Phone: (917) 399-0548
Approximate (ZIP-level) locationGet directions
Mailing address
428 Prospect St
South Orange, NJ 07079-1832
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.