Provider Demographics
NPI:1992077929
Name:ZINSHTEIN, OLENA (RD)
Entity type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:ZINSHTEIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 SANSOM ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3231
Mailing Address - Country:US
Mailing Address - Phone:215-305-8860
Mailing Address - Fax:
Practice Address - Street 1:200 W WASHINGTON SQ STE 120
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3581
Practice Address - Country:US
Practice Address - Phone:215-305-8860
Practice Address - Fax:215-305-8862
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004321133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered