Provider Demographics
NPI:1831749738
Name:REMBIESA-OSINSKI, BEATA MARIA (MSRD)
Entity type:Individual
Prefix:
First Name:BEATA
Middle Name:MARIA
Last Name:REMBIESA-OSINSKI
Suffix:
Gender:F
Credentials:MSRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3914
Mailing Address - Country:US
Mailing Address - Phone:201-291-1616
Mailing Address - Fax:201-291-0637
Practice Address - Street 1:251 ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3914
Practice Address - Country:US
Practice Address - Phone:201-291-1616
Practice Address - Fax:201-291-0637
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ849869133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered