Individual
SHOSHANA EHRENREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN, CLCL
Contact information
Practice address
269 SYCAMORE ST, WEST HEMPSTEAD, NY 11552-2409
(516) 458-0141
Mailing address
269 SYCAMORE ST, WEST HEMPSTEAD, NY 11552-2409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146320
NY
174N00000X
Lactation Consultant (Non-RN)
327126
NY
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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