Individual
CYNTHIA GILLOGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7984
(716) 878-7436
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7984
(716) 878-7436
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
002826-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002826-1
CDN
NY
01
—
405788
RD
NY
Enumeration date
02/02/2011
Last updated
02/02/2011
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