Cino, Shannon P
Cino, Shannon P is an individual health care provider with primary practice located at 3671 Southwestern Blvd St 213 , Orchard Park NY 14127-1752. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Cino, Shannon P can be contacted via phone (716) 662-7008.Contact Information
Primary practice address
3671 Southwestern Blvd St 213
Orchard Park NY 14127-1752
Phone: (716) 662-7008
Fax: (716) 662-5226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 005333 | New York |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 005333 | New York |
Profile Details
| NPI number | 1154561983 |
|---|---|
| LBN Legal business name | Cino, Shannon P |
| Credentials | RD, CDE, CDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2009 |
| Last updated | Dec 30th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154561983 | NPPES |
| New York | Other | 005333 | LICENSE |
| New York | MEDICAID | 03111795 | LICENSE |
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