Individual
MISS EMILY CATHERINE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
1084 DELAWARE AVE, BUFFALO, NY 14209
(716) 715-3762
Mailing address
50 SCHOOL ST, APT. 11, LANCASTER, NY 14086-2251
(716) 715-3762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01065786
NY
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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