Individual
SHAWNA DULLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
316 4TH ST, EAST NORTHPORT, NY 11731-2930
(917) 838-3265
Mailing address
316 4TH ST, EAST NORTHPORT, NY 11731-2930
(917) 838-3265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957488
NY
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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