IndividualActive
Gloria Mack, NDTR
NPI 1780480244 · Registered Dietetic Technician · Bronx, NY
Provider details
- NPI number
- 1780480244
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 584-9000
Approximate (ZIP-level) locationGet directions
Mailing address
225 Dr Martin Luther King Blvd Apt 7e
White Plains, NY 10601-4125
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.