Eliza Whitaker Wellness, LLC

Organization Active NPI Health Service Clinic/Center · Greene, NY

NPI 1750108098 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1750108098
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
ELIZA WHITAKER WELLNESS, LLC
Practice address
322 Hattie Clark Rd
Greene, NY 13778-3116
Phone
(607) 373-5244
NPI assigned
Sep 25, 2024
Organization subpart
No

Authorized official

Name
Eliza Whitaker, RDN
Title
Founder
Phone
(607) 373-5244

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Eliza Whitaker Wellness LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

322 Hattie Clark Rd
Greene, NY 13778-3116

Mailing address

322 Hattie Clark Rd
Greene, NY 13778-3116
Phone (607) 373-5244

Other names

  • Nourished Nutrition and Fitness Doing business as

Other providers in Greene, NY

All providers in Greene, NY · Health Service Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.