Provider Demographics
NPI:1164945234
Name:ZAKRZEWSKI, JENIFER J (RD)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:J
Last Name:ZAKRZEWSKI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:57 JESTER LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5236
Mailing Address - Country:US
Mailing Address - Phone:631-742-5861
Mailing Address - Fax:
Practice Address - Street 1:15 STRATFORD AVE
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-2511
Practice Address - Country:US
Practice Address - Phone:702-755-4009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86049968133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered