Individual
MS. SHANNON P CINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE, CDN
Contact information
Practice address
3671 SOUTHWESTERN BLVD ST 213, ORCHARD PARK, NY 14127-1752
(716) 662-7008
(716) 662-5226
Mailing address
3671 SOUTHWESTERN BLVD ST 213, ORCHARD PARK, NY 14127-1752
(716) 662-7008
(716) 662-5226
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
005333
NY
133V00000X
Registered Dietitian
Primary
005333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005333
LICENSE
NY
05
—
03111795
—
NY
Enumeration date
03/06/2009
Last updated
12/30/2010
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