Individual
LEAH GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
319 HARVARD AVE, ROCKVILLE CENTRE, NY 11570-1624
(516) 205-4869
Mailing address
319 HARVARD AVE, ROCKVILLE CENTRE, NY 11570-1624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86040250
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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