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Individual

CHRISTOPHER M SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
222 LIBERTY AVE, WESTBURY, NY 11590-2134
(516) 320-0321
Mailing address
222 LIBERTY AVE, WESTBURY, NY 11590-2134
(516) 320-0321

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86105971
NY

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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