Provider Demographics
NPI:1033788591
Name:WEINDORF, SARAH (MS, RD, CDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WEINDORF
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 THE LOCH
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1917
Mailing Address - Country:US
Mailing Address - Phone:516-659-6319
Mailing Address - Fax:
Practice Address - Street 1:277 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10172-0003
Practice Address - Country:US
Practice Address - Phone:516-659-6319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered