Provider Demographics
NPI:1902370174
Name:SHEINFELD, CHARNA R (RD)
Entity Type:Individual
Prefix:
First Name:CHARNA
Middle Name:R
Last Name:SHEINFELD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CHARNA
Other - Middle Name:
Other - Last Name:SALZMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:92 ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4334
Mailing Address - Country:US
Mailing Address - Phone:718-736-4320
Mailing Address - Fax:
Practice Address - Street 1:92 ASPEN CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4334
Practice Address - Country:US
Practice Address - Phone:718-736-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86039849133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered