Provider Demographics
NPI:1326511528
Name:VISINSKI, EMILY (RDN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:VISINSKI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:31 GOLDEN HILL LN
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-1673
Mailing Address - Country:US
Mailing Address - Phone:203-927-4492
Mailing Address - Fax:
Practice Address - Street 1:31 GOLDEN HILL LN
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-1673
Practice Address - Country:US
Practice Address - Phone:203-927-4492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT86086493133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered