Individual provider · Type 1 NPI

Gloria Patricia Mack, NDTR

Registered Dietetic Technician · Bronx, NY

NPI number 1780480244 Active

Practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Mailing address

225 Dr Martin Luther King Blvd Apt 7E
White Plains, NY 10601-4125

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000XNone listed

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

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About NPI 1780480244

Gloria Patricia Mack, NDTR's National Provider Identifier is 1780480244, issued on Feb 24, 2025. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 24, 2025.