Provider Demographics
NPI:1255590121
Name:DOLINS, KAREN REZNIK (EDD, RD, CDN)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:REZNIK
Last Name:DOLINS
Suffix:
Gender:F
Credentials:EDD, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1126
Mailing Address - Country:US
Mailing Address - Phone:914-723-5458
Mailing Address - Fax:914-723-6620
Practice Address - Street 1:250 E HARTSDALE AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3571
Practice Address - Country:US
Practice Address - Phone:914-391-2982
Practice Address - Fax:914-723-6620
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000549133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS02412Medicare UPIN