NPI 1780480244

Gloria Patricia Mack, NDTR

Practitioner Registered Dietetic Technician Bronx, NY

Practice location

Address: 130 W Kingsbridge Rd, Bronx, NY 10468-3904
Phone: (718) 584-9000
Mailing address: 225 Dr Martin Luther King Blvd APT 7e, White Plains, NY 10601-4125

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in New York →

Registry record

NPI: 1780480244
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2025
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.