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Individual

CHARLOTTE A GOSRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDN

Contact information

Practice address
206 CORNELIA ST, SUITE 103, PLATTSBURGH, NY 12901-2779
(518) 562-7326
(518) 562-7346
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006330
NY
133V00000X
Registered Dietitian
Primary
006330
NY

Other

Enumeration date
02/10/2009
Last updated
08/26/2011
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