Individual
MS. SHELLEY BETH WISHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CDE
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-7975
(212) 423-0508
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01002391
NY
Other
Enumeration date
03/14/2012
Last updated
09/17/2015
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