Provider Demographics
NPI:1528186988
Name:ZOHNI, SANDY V (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:V
Last Name:ZOHNI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6133
Mailing Address - Country:US
Mailing Address - Phone:718-376-1616
Mailing Address - Fax:718-376-1616
Practice Address - Street 1:2518 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6133
Practice Address - Country:US
Practice Address - Phone:718-376-1616
Practice Address - Fax:718-376-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005052133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ09532Medicare UPIN