Shirley Charm, RDN
Dietitian, Registered in Jamaica, NY. Individual provider (NPI-1).
NPI number1154851806
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1154851806
- Entity type
- Individual (NPI-1)
- Name
- Shirley Charm
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 008846-1 | NY | Yes |
Practice location
173-18 82aveJamaica, NY 11432
Phone 646-358-2441
Mailing address
17318 82nd AveJamaica, NY 11432-1313
Phone 646-358-2441
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