Provider Demographics
NPI:1073770442
Name:KEINGSTEIN, VALERIE PAPPAS (RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:PAPPAS
Last Name:KEINGSTEIN
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 AINSLIE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-3556
Mailing Address - Country:US
Mailing Address - Phone:347-496-9149
Mailing Address - Fax:718-486-5874
Practice Address - Street 1:103 AINSLIE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3556
Practice Address - Country:US
Practice Address - Phone:347-496-9149
Practice Address - Fax:718-486-5874
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR4611OtherEMPIRE BLUE CROSS
NYP2679295OtherOXFORD HEALTH PLAN
NYP2679294OtherOXFORD HEALTH PLAN