National Provider Identifier
Jason Christopher Schoonderwoerd, PENG
Jason Christopher Schoonderwoerd, PENG is listed in the NPPES registry with a primary specialty of Nutritionist in Pittsford, NY and a listed phone number of (585) 255-0210.
Profile Overview
- NPI
- 1689429649
- Provider Type
- Individual
- Primary Specialty
- Nutritionist
- Enumeration Date
- April 22, 2024
- Last Updated
- April 22, 2024
Practice Location
- 3660 Monroe Ave Apt 29
- Pittsford, NY 14534-1226
Phone: (585) 255-0210
Specialties
- Nutritionist (133N00000X)
Full Record
- NPI
- 1689429649
- Entity Type
- Individual
- Last Name
- Schoonderwoerd
- First Name
- Jason
- Middle Name
- Christopher
- Name Prefix
- Mr.
- Credential
- PENG
- Mailing Street Address
- 3660 Monroe Ave Apt 29
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-1226
- Mailing Country
- US
- Mailing Phone
- (585) 255-0210
- Practice Street Address
- 3660 Monroe Ave Apt 29
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-1226
- Practice Country
- US
- Practice Phone
- (585) 255-0210
- Enumeration Date
- April 22, 2024
- Last Updated
- April 22, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nutritionist (133N00000X)