Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New York Dietetic and Registered Professional Nurse PLLC

Organization Counselor · NPI 1427688266

New York Dietetic and Registered Professional Nurse PLLC provides Counselor services in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

804 W 180th St Apt 24
New York, NY 10033-3509
Phone: (201) 674-4114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Registered Nurse (primary) Taxonomy 163WN1003X
Counselor Taxonomy 101Y00000X
Registered Dietitian Taxonomy 133V00000X
Registered Nurse Taxonomy 163W00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1427688266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hymson — Owner · (201) 674-4114
NPI enumeratedJanuary 21, 2020
Last updated in NPPESOctober 18, 2020
Certification dateOctober 18, 2020
Mailing address804 W 180th St Apt 24, New York, NY 10033-3509

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