Individual
CAROLINE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
8 CENTRAL AVE, ONEONTA, NY 13820-1404
(518) 210-4457
Mailing address
8 CENTRAL AVE, ONEONTA, NY 13820-1404
(518) 210-4457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011190
NY
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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