Individual
SHIRLEY JUE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(718) 250-6559
Mailing address
229 E 110TH ST APT 3, NEW YORK, NY 10029-3368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
013293
NY
Other
Enumeration date
02/25/2026
Last updated
03/09/2026
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