Individual
MS. COLLEEN A GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CN
Contact information
Practice address
5259 PARKSIDE DR FL DDSO, CANANDAIGUA, NY 14424-7507
(800) 452-4256
(585) 394-9405
Mailing address
1180 WEST AVE, MIDDLESEX, NY 14507-9602
(585) 554-3060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5215038
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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