Individual
MS. CORLISS S SAMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
8625 VAN WYCK EXPY, APT L30, BRIARWOOD, NY 11435-2931
(718) 526-1000
Mailing address
8625 VAN WYCK EXPY, APT L30, BRIARWOOD, NY 11435-2931
(718) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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