Individual
EMILY RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
7 HICKORY TRL, ITHACA, NY 14850-9660
(814) 335-7860
Mailing address
7 HICKORY TRL, ITHACA, NY 14850-9660
(814) 335-7860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008278
NY
Other
Enumeration date
03/31/2020
Last updated
07/07/2020
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