Individual
GAYLE CHAPMAN ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3670
(585) 242-8707
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006223
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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