Provider Demographics
NPI:1245633940
Name:REED-JOHNSON, VALENTINE (RD)
Entity type:Individual
Prefix:
First Name:VALENTINE
Middle Name:
Last Name:REED-JOHNSON
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 1:784 PARK AVE
Mailing Address - Street 2:APT 7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3553
Mailing Address - Country:US
Mailing Address - Phone:914-672-1324
Mailing Address - Fax:
Practice Address - Street 1:784 PARK AVE
Practice Address - Street 2:APT 7A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3553
Practice Address - Country:US
Practice Address - Phone:914-672-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered