Individual
MS. JOSEPHINE CONNOLLY-SCHOONEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3495
(111) 111-1111
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1H9641
EMPIRE BC.BS
NY
01
—
7980207
AETNA
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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