Individual
MARISA SHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CEDRD
Contact information
Practice address
928 BROADWAY STE 904, NEW YORK, NY 10010-8120
(917) 573-7003
Mailing address
405 BUCK RD, STONE RIDGE, NY 12484-5553
(646) 265-7708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010702
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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