Provider Demographics
NPI:1215161633
Name:GIORDANO, JANE (RD, CDE, CDN)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:RD, CDE, CDN
Other - Prefix:MRS
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:TROSTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CDE, CDN
Mailing Address - Street 1:7331 220TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3037
Mailing Address - Country:US
Mailing Address - Phone:718-464-4495
Mailing Address - Fax:
Practice Address - Street 1:7331 220TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3037
Practice Address - Country:US
Practice Address - Phone:718-464-4495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004654133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered