Provider Demographics
NPI:1295248755
Name:DOWNEY, GINGER (MS, CNS)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:HODULIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CNS
Mailing Address - Street 1:19 ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3302
Mailing Address - Country:US
Mailing Address - Phone:908-752-2674
Mailing Address - Fax:
Practice Address - Street 1:19 ROCK RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3302
Practice Address - Country:US
Practice Address - Phone:908-752-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist