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Individual

MS. SHERYL E PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.H; R.D, CDE, CDN

Contact information

Practice address
740 VETERANS HWY, SUITE 306, HAUPPAUGE, NY 11788-2329
(631) 650-7580
(631) 650-7581
Mailing address
740 VETERANS HWY, SUITE 306, HAUPPAUGE, NY 11788-2329
(631) 650-7580
(631) 650-7581

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001992
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011992
NYS LICENSE
NY
Enumeration date
10/02/2006
Last updated
02/09/2015
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