Provider Demographics
NPI:1447071055
Name:BIG APPLE DIETITIAN LLC
Entity type:Organization
Organization Name:BIG APPLE DIETITIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-828-0028
Mailing Address - Street 1:601 BRICKELL KEY DR STE 700
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2649
Mailing Address - Country:US
Mailing Address - Phone:929-307-0050
Mailing Address - Fax:888-494-2097
Practice Address - Street 1:601 BRICKELL KEY DR STE 700
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2649
Practice Address - Country:US
Practice Address - Phone:929-307-0050
Practice Address - Fax:888-494-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty