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Individual

CHARISSE MCELWAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
12 HENDRICKSON AVENUE, NORTH MERRICK, NY 11566
(516) 581-4378
Mailing address
12 HENDRICKSON AVENUE, NORTH MERRICK, NY 11566

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006594
NY

Other

Enumeration date
01/21/2009
Last updated
10/21/2010
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