Provider Demographics
NPI:1003147653
Name:DANIELLE GEIGER, RD
Entity Type:Organization
Organization Name:DANIELLE GEIGER, RD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:631-940-7777
Mailing Address - Street 1:1913 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-3300
Mailing Address - Country:US
Mailing Address - Phone:631-940-7777
Mailing Address - Fax:
Practice Address - Street 1:1913 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-3300
Practice Address - Country:US
Practice Address - Phone:631-940-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty