Provider Demographics
NPI:1831946995
Name:MCCASKILL, SHARON (RDN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 PINEWOODS RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:NY
Mailing Address - Zip Code:12121-2402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 PINEWOODS RD
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:NY
Practice Address - Zip Code:12121-2402
Practice Address - Country:US
Practice Address - Phone:518-588-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered