Provider Demographics
NPI:1225447386
Name:PANJWANI, REENA (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:REENA
Middle Name:
Last Name:PANJWANI
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 1:12 CROWN ST
Mailing Address - Street 2:APARTMENT D5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-1853
Mailing Address - Country:US
Mailing Address - Phone:917-783-8862
Mailing Address - Fax:
Practice Address - Street 1:12 CROWN ST
Practice Address - Street 2:APARTMENT D5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1853
Practice Address - Country:US
Practice Address - Phone:917-783-8862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-03
Last Update Date:2014-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007667-1133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist