Provider Demographics
NPI:1093068629
Name:SCHAFFLER, JOANNA KOLTON (MS, RD)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:KOLTON
Last Name:SCHAFFLER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 BROADWAY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3225
Mailing Address - Country:US
Mailing Address - Phone:212-966-7600
Mailing Address - Fax:212-925-8736
Practice Address - Street 1:568 BROADWAY
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3225
Practice Address - Country:US
Practice Address - Phone:212-966-7600
Practice Address - Fax:212-925-8736
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered