Provider Demographics
NPI:1881282671
Name:DURKIN, GREG (RD, LD)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:DURKIN
Suffix:
Gender:M
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 ORLO LN
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1728
Mailing Address - Country:US
Mailing Address - Phone:330-502-0491
Mailing Address - Fax:
Practice Address - Street 1:796 ORLO LN
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-1728
Practice Address - Country:US
Practice Address - Phone:330-502-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered