NPI 1295092229

Shane Fit

Organisation Dietary Manager Croton on Hudson, CA

Practice location

Address: 134 Teatown Road, Croton on Hudson, CA 90265
Phone: (626) 797-9977
Mailing address: 134 Teatown Rd, Croton on Hudson, NY 10520-3524

Authorised official

Name: Michelle Maidenberg
Title: Medical Doctor
Phone: (626) 797-9977

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence R049213-1 (NY)

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Registry record

NPI: 1295092229
Entity type: Organization
NPI issued: 16 Apr 2012
Record last updated: 16 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.