Individual
SHARON MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, CDN
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
11415 165TH ST, JAMAICA, NY 11434-1211
(718) 523-7922
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004606-1
NY
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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