Individual
SHIRLY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
(516) 256-6039
Mailing address
9 4TH AVE, GARDEN CITY PARK, NY 11040-5008
(516) 294-6335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002087
NY
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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