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Individual

MISS SHANNAN E CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,RD,CDN

Contact information

Practice address
1886 BROADWAY, SECOND FLOOR, NEW YORK, NY 10023-7033
(212) 247-8100
(212) 247-8093
Mailing address
30 W 63RD ST, 22L, NEW YORK, NY 10023-7103
(646) 644-5767
(212) 247-8093

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004040
NY

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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