Individual
SHANA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
126 RUTLAND AVE, ROCKVILLE CENTRE, NY 11570-5628
(860) 670-1254
Mailing address
126 RUTLAND AVE, ROCKVILLE CENTRE, NY 11570-5628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86302492
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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