Individual
MELISSA DANIELLE O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
109 MANITOU TRL, KINGS PARK, NY 11754-4550
(631) 834-3546
Mailing address
109 MANITOU TRL, KINGS PARK, NY 11754-4550
(631) 834-3546
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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