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INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC
NPI 1942819834
Nutritionist - Nutrition, Education in New York, NY

Active since July 27, 2020
30 CENTRAL PARK S RM 4C, NEW YORK, NY 10019(212) 371-0360 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrative Mind Body Dental Telehealth Llc NPPES

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

INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC (NPI 1942819834) is a healthcare organization registered as a nutrition, education in New York, New York and active in the NPI registry since July 2020. The organization lists Maryam Edalat, Owner, as its authorized official.

NPPES Registry Identity

NPI1942819834
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameINTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC
Location Address30 CENTRAL PARK S RM 4CNew York, NY 10019-1628
Mailing Address30 Central Park S Rm 4cNew York, NY 10019-1628 · (212) 371-0360
Phone(212) 371-0360
Organization SubpartNo
Authorized OfficialMaryam EdalatOwner · (212) 371-0360
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1942819834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
Also ListedDentistTaxonomy 122300000X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedPrevention ProfessionalTaxonomy 405300000X
30 CENTRAL PARK S RM 4C, New York, NY 10019
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Other Names 1

Doing Business AsIntegrative Mind Body Dental Telehealth Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. MARYAM EDALAT D.D.S.
Dentist
30 CENTRAL PARK S RM 4C
NEW YORK, NY 10019
New York County (212) 371-0360
DR ARYA EDALAT DENTIST PC
Dentist (General Practice)
30 CENTRAL PARK S RM 4C
NEW YORK, NY 10019
New York County (212) 371-0360
MARYAM EDALAT D.D.S., PC
Dentist
30 CENTRAL PARK S RM 4C
NEW YORK, NY 10019
New York County (212) 371-0360

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 Integrative Mind Body Dental Telehealth LLC's NPI number?

The NPI number for Integrative Mind Body Dental Telehealth LLC is 1942819834. It was assigned to this organization in the NPPES registry on July 27, 2020.

Where is Integrative Mind Body Dental Telehealth LLC located?

Integrative Mind Body Dental Telehealth LLC is located at 30 Central Park S Rm 4C, New York, NY 10019. The listed phone number is (212) 371-0360.

What is Integrative Mind Body Dental Telehealth LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Integrative Mind Body Dental Telehealth LLC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.