OrganizationActive
New York Dietetic and Registered Professional Nurse PLLC
NPI 1427688266 · Nutrition Support Registered Nurse · New York, NY
Provider details
- NPI number
- 1427688266
- Entity type
- Organization
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Laura Hymson, Owner(201) 674-4114
Specialties & taxonomies
Nursing Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
804 W 180th St Apt 24
New York, NY 10033-3509
Phone: (201) 674-4114
Approximate (ZIP-level) locationGet directions
Mailing address
804 W 180th St Apt 24
New York, NY 10033-3509
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-10-18
- Certified
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.