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NPI Code Detail

MEDICARE: CHERYL ZONKOWSKI MS, RD, LDN, CSSD

MEDICARE: CHERYL ZONKOWSKI MS, RD, LDN, CSSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDX8468MD

General Provider Information

NPI Number : 1346172418
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL ZONKOWSKI MS, RD, LDN, CSSD
Provider Business Mailing Address
First Line : 236 73RD ST
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1904
Country : US
Telephone Number : 732-690-7876
Fax Number :
Provider Business Practice Location Address
First Line : 236 73RD ST
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1904
Country : US
Telephone Number : 732-690-7876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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