Individual
MS. SHANA R MALEEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDN
Contact information
Practice address
200 BROADHOLLOW RD, STE 207, MELVILLE, NY 11747-4806
(215) 776-0389
Mailing address
30 WALTER CT, COMMACK, NY 11725-3602
(215) 776-0389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916084
NY
Other
Enumeration date
06/06/2016
Last updated
05/17/2021
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