Individual
JUDITH LYNNE SAMPSON-CHIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
163 MINEOLA BLVD, MINEOLA, NY 11501
(516) 663-2350
(516) 248-1217
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2350
(516) 248-1217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001988-1
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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