MEDICARE: MS. ERIN K PALINSKI RD, CDN, LDN

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
1	133V00000X	Registered Dietitian	925918	NJ

General Provider Information

NPI Number	:	1538142401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN K PALINSKI RD, CDN, LDN

Provider Business Mailing Address
First Line	:	529 COUNTY ROAD 515
Second Line	:	SUITE 201 B
City	:	VERNON
State	:	NJ
Zip	:	07462
Country	:	US
Telephone Number	:	973-764-1600
Fax Number	:	973-858-0417

Provider Business Practice Location Address
First Line	:	529 COUNTY ROAD 515
Second Line	:	SUITE 201 B
City	:	VERNON
State	:	NJ
Zip	:	07462
Country	:	US
Telephone Number	:	973-764-1600
Fax Number	:	973-858-0417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	07/08/2007

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