Provider Demographics
NPI:1942923362
Name:DOSSANTOS, GINA (MS, CNSCANDIDATE)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:DOSSANTOS
Suffix:
Gender:F
Credentials:MS, CNSCANDIDATE
Other - Prefix:MS
Other - First Name:GINA
Other - Middle Name:DOS SANTOS
Other - Last Name:HILTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CNSCANDIDATE
Mailing Address - Street 1:447 GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5041
Mailing Address - Country:US
Mailing Address - Phone:917-974-8847
Mailing Address - Fax:
Practice Address - Street 1:447 GREELEY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-5041
Practice Address - Country:US
Practice Address - Phone:917-974-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist