Provider Demographics
NPI:1366857419
Name:OFIR, KARIN (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:OFIR
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CDN
Mailing Address - Street 1:1315 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2526
Mailing Address - Country:US
Mailing Address - Phone:646-269-6201
Mailing Address - Fax:
Practice Address - Street 1:1315 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2526
Practice Address - Country:US
Practice Address - Phone:646-269-6201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-27
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008066-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered