Individual
MS. KATHERINE MARY SHANNON-ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
31 BROADWAY, GREENLAWN, NY 11740-1320
(631) 897-7713
Mailing address
19 MILLAND DR, NORTHPORT, NY 11768-2834
(631) 897-7713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
708288
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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