Individual
MILDRED SHEDORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2412 HUDSON ST, EAST MEADOW, NY 11554-5205
(516) 797-1366
Mailing address
2412 HUDSON ST, EAST MEADOW, NY 11554-5205
(516) 797-1366
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
001141-1
NY
133NN1002X
Nutrition Education Nutritionist
001141-1
NY
133V00000X
Registered Dietitian
Primary
001141-1
NY
Other
Enumeration date
09/26/2007
Last updated
05/13/2008
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