Individual
DANE SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT, CMES, LWMC
Contact information
Practice address
2313 SNAPDRAGON PT, EAST STROUDSBURG, PA 18301-9397
(843) 860-3064
Mailing address
10460 QUEENS BLVD APT 15C, FOREST HILLS, NY 11375-7309
(843) 860-3064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86078718
NY
Other
Enumeration date
05/07/2013
Last updated
07/05/2022
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