Genovese, Jillian

Genovese, Jillian is an individual health care provider with primary practice located at 29 Midland St , Cold Spring Harbor NY 11724-1826. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Genovese, Jillian can be contacted via phone (631) 935-5271.

Contact Information

Primary practice address
29 Midland St Cold Spring Harbor NY 11724-1826
Phone: (631) 935-5271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1457078057
LBN Legal business name Genovese, Jillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457078057 NPPES
New York Other 86253139 CDR REGISTRATION ID

Popular Providers