Provider Demographics
NPI:1417744434
Name:KRAYNYAK, OXANA (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:OXANA
Middle Name:
Last Name:KRAYNYAK
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:MATIYASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1902 AVENUE L APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5032
Mailing Address - Country:US
Mailing Address - Phone:347-244-0943
Mailing Address - Fax:
Practice Address - Street 1:1902 AVENUE L APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5032
Practice Address - Country:US
Practice Address - Phone:347-244-0943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
NY008585133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education