Provider Demographics
NPI:1205589751
Name:GREENSPUN, ABBY (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:GREENSPUN
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 REICHERT CIR
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2643
Mailing Address - Country:US
Mailing Address - Phone:203-522-3288
Mailing Address - Fax:
Practice Address - Street 1:500 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4431
Practice Address - Country:US
Practice Address - Phone:203-522-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT806951133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered