Provider Demographics
NPI:1437428489
Name:GIARDINO, KARIN LEE (RD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:LEE
Last Name:GIARDINO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 CATON AVE
Mailing Address - Street 2:APT. 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1773
Mailing Address - Country:US
Mailing Address - Phone:646-510-1312
Mailing Address - Fax:
Practice Address - Street 1:414 CATON AVE
Practice Address - Street 2:APT. 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1773
Practice Address - Country:US
Practice Address - Phone:646-510-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1039957133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered