Individual
SHERRY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD-N
Contact information
Practice address
521 BOICES LN, KINGSTON, NY 12401-1083
(845) 382-1899
Mailing address
521 BOICES LN, KINGSTON, NY 12401-1083
(845) 382-1899
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004598
NY
Other
Enumeration date
11/15/2010
Last updated
12/29/2010
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