Healthcare Provider Details

I. General information

NPI: 1043171952
Provider Name (Legal Business Name): JENNY SARANDON FINKE RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W PUTNAM AVE STE 400
GREENWICH CT
06830-6096
US

IV. Provider business mailing address

PO BOX 133
GREENWICH CT
06836-0133
US

V. Phone/Fax

Practice location:
  • Phone: 281-705-1274
  • Fax:
Mailing address:
  • Phone: 281-705-1274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86376097
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: