Healthcare Provider Details

I. General information

NPI: 1033128087
Provider Name (Legal Business Name): KAREN M JANKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 EMPIRE DRIVE
WEST SENECA NY
14224
US

IV. Provider business mailing address

800 CARTER STREET
ROCHESTER NY
14621
US

V. Phone/Fax

Practice location:
  • Phone: 716-668-6170
  • Fax: 716-656-4074
Mailing address:
  • Phone: 585-338-4793
  • Fax: 585-336-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number003876
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: