Provider Demographics
NPI:1023737483
Name:NUTRITION CONSULTING SERVICES
Entity type:Organization
Organization Name:NUTRITION CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CDN
Authorized Official - Phone:201-937-3296
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-0432
Mailing Address - Country:US
Mailing Address - Phone:201-937-3296
Mailing Address - Fax:
Practice Address - Street 1:310 FALLER DR APT C
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-5203
Practice Address - Country:US
Practice Address - Phone:201-937-3296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty