Jillian Genovese
Individual provider Active NPI Registered Dietitian · Cold Spring Harbor, NY
NPI 1457078057 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1457078057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 29 Midland St
Cold Spring Harbor, NY 11724-1826 - Phone
- (631) 935-5271
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
29 Midland St
Cold Spring Harbor, NY 11724-1826
Mailing address
29 Midland St
Cold Spring Harbor, NY 11724-1826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86253139 | Other | NY | CDR REGISTRATION ID |
Other providers in Cold Spring Harbor, NY
- Robin Ann Deluca-Acconi
- Emily Ellen Dolan
- Gabrielle Dicanio-Kirby
- Tara Gannon
- Michelle Gegwich
- John P Giordano Sr.
- Ashley Gleeson
- Risa Levenson Gold
- Gooding Wellness LCSW PC
- Arnott Gordon Gooding III
All providers in Cold Spring Harbor, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.