Individual
MICHELLE NICOLE GIMBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1747 PIERCE CREEK RD, BINGHAMTON, NY 13903-6641
(607) 434-8894
Mailing address
1747 PIERCE CREEK RD, BINGHAMTON, NY 13903-6641
(607) 434-8894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86057839
NY
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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