Individual
MISS AMANDA RAE GERAGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2005 DELAWARE AVE APT 1E, BUFFALO, NY 14216-3590
(151) 671-2523
Mailing address
2005 DELAWARE AVE APT 1E, BUFFALO, NY 14216-3590
(151) 671-2523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076263
NY
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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