Provider Demographics
NPI:1902806615
Name:KRASIL, KARINA (RD)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:KRASIL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 LEXINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3772
Mailing Address - Country:US
Mailing Address - Phone:732-583-7935
Mailing Address - Fax:
Practice Address - Street 1:105 OLD MATAWAN RD
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-1457
Practice Address - Country:US
Practice Address - Phone:732-257-1600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered