Provider Demographics
NPI:1831732460
Name:ZAIDINSKI, KRISTY MARIE (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:MARIE
Last Name:ZAIDINSKI
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 CLARISSA RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-6204
Mailing Address - Country:US
Mailing Address - Phone:516-509-4269
Mailing Address - Fax:
Practice Address - Street 1:4205 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2573
Practice Address - Country:US
Practice Address - Phone:718-631-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009998-01133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133V00000XOtherEMBLEM
NY133V00000XOtherEMPIRE
NY133V00000XOtherNYSHIP
NY133V00000XOtherMETLIFE