Provider Demographics
NPI:1275285330
Name:VALENTINETTI, ERIN JENNINGS (MS, RD, CSO, CDN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:JENNINGS
Last Name:VALENTINETTI
Suffix:
Gender:F
Credentials:MS, RD, CSO, CDN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LAURE
Other - Last Name:JENNINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, CSO, CDN
Mailing Address - Street 1:22 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2013
Mailing Address - Country:US
Mailing Address - Phone:720-231-9932
Mailing Address - Fax:
Practice Address - Street 1:22 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2013
Practice Address - Country:US
Practice Address - Phone:720-231-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01100985133VN1301X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology