Provider Demographics
NPI:1174215206
Name:MY NU PLAN LLC
Entity type:Organization
Organization Name:MY NU PLAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZUGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOLPHE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CDN, CDCES
Authorized Official - Phone:347-410-4023
Mailing Address - Street 1:16 MIDDLE NECK RD # 2006
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2357
Mailing Address - Country:US
Mailing Address - Phone:347-410-4023
Mailing Address - Fax:347-460-1069
Practice Address - Street 1:14210 HOOVER AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-2100
Practice Address - Country:US
Practice Address - Phone:347-410-4023
Practice Address - Fax:347-460-1069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty