Provider Demographics
NPI:1235935552
Name:ZEST NUTRITION, LLC
Entity type:Organization
Organization Name:ZEST NUTRITION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:V
Authorized Official - Last Name:IVANOV
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:718-790-0535
Mailing Address - Street 1:1585 E 14TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7182
Mailing Address - Country:US
Mailing Address - Phone:718-790-0535
Mailing Address - Fax:
Practice Address - Street 1:1585 E 14TH ST APT 5E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7182
Practice Address - Country:US
Practice Address - Phone:718-790-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty