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NUTRITION CLINIC
NPI 1578624078
Family Medicine in Elmira, NY

Active since December 12, 2006
1003 WALNUT STREET, ELMIRA, NY 14901(607) 732-5646(607) 732-0373 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nutrition Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRITION CLINIC (NPI 1578624078) is a healthcare organization registered as a family medicine in Elmira, New York and active in the NPI registry since December 2006. The organization lists Charlie A Jenkins, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1578624078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNUTRITION CLINIC
Location Address1003 WALNUT STREETElmira, NY 14901
Mailing Address1003 Walnut StreetElmira, NY 14901 · (607) 732-5646 · Fax (607) 732-0373
Phone(607) 732-5646
Fax(607) 732-0373
Organization SubpartNo
Authorized OfficialCharlie A JenkinsProgram Manager · (607) 732-5646
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578624078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1003 WALNUT STREET, Elmira, NY 14901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1003 WALNUT ST INC
Psychiatric Hospital
1003 WALNUT STREET
ELMIRA, NY 14901
Chemung County (607) 732-5646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutrition Clinic's NPI number?

The NPI number for Nutrition Clinic is 1578624078. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Nutrition Clinic located?

Nutrition Clinic is located at 1003 Walnut Street, Elmira, NY 14901. The listed phone number is (607) 732-5646.

What is Nutrition Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nutrition Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.