Provider Demographics
NPI:1306502380
Name:KRICHMAR, EVELYN (RDN)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:KRICHMAR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7156 INGRAM ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5925
Mailing Address - Country:US
Mailing Address - Phone:516-902-0698
Mailing Address - Fax:
Practice Address - Street 1:7156 INGRAM ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5925
Practice Address - Country:US
Practice Address - Phone:516-902-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered