Individual
MR. RICK SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDN PHD
Contact information
Practice address
13681 71ST ROAD, FLUSHING, NY 11367-1942
(718) 544-4036
(718) 544-4036
Mailing address
13681 71ST ROAD, FLUSHING, NY 11367-1942
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000227
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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