Individual
JESSICA SHAMASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
20 SHORE PARK RD, GREAT NECK, NY 11023-2035
(516) 423-1110
Mailing address
20 SHORE PARK RD, GREAT NECK, NY 11023-2035
(516) 423-1110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112436
NY
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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