Individual
HOLLY GONZALES-GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD
Contact information
Practice address
10 MIRACLE MILE DR, ROCHESTER, NY 14623-5851
(315) 945-4278
Mailing address
10 MIRACLE MILE DR, ROCHESTER, NY 14623-5851
(585) 945-4278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86032086
CT
133V00000X
Registered Dietitian
Primary
86032086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
MEDICARE YNHH
CT
Enumeration date
11/23/2015
Last updated
11/19/2025
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