Gabrielle Kishner, RD
Dietitian, Registered in New York, NY. Individual provider (NPI-1).
NPI number1104690403
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1104690403
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Kishner
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2023
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
305 E 86th StNew York, NY 10028-4702
Phone 917-744-2662
Mailing address
35 Stratton RdScarsdale, NY 10583-7554
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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