Provider Demographics
NPI:1861559783
Name:GERSTLE, JINNY FRANZE (RD,CDN)
Entity type:Individual
Prefix:DR
First Name:JINNY
Middle Name:FRANZE
Last Name:GERSTLE
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2138
Mailing Address - Country:US
Mailing Address - Phone:914-949-4296
Mailing Address - Fax:914-831-1663
Practice Address - Street 1:338 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2138
Practice Address - Country:US
Practice Address - Phone:914-949-4296
Practice Address - Fax:914-831-1663
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001148-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2587871OtherAETNA
NY2533698OtherUNITED HEALTH CARE
NY1000418533OtherAFFINITY HEALTH PLAN
NY67185OtherGHI HMO
NY8099887OtherGHI PPO
NY4263220003OtherCIGNA
NY9779OtherHUDSON HEALTH PLAN
NYP2616825OtherOXFORD HEALTH PLANS
NY67185OtherGHI HMO