Most Relevant Information
Provider Data
| NPI Number: | 1003327966 |
| Provider Name: | ERIN SHYONG RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/18/2017 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
30 RAMLAND RD S STE 200A
ORANGEBURG
NY
109622626
Practice Location Phone/Fax
| Phone: | 8453590010 |
| Fax: | 8453593414 |
Provider Mailing Location
400 COLUMBUS AVE STE 200E
VALHALLA
NY
105951392
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |