Individual
MISS AMIE LEE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDCES
Contact information
Practice address
600 ROE AVE STE 1G, ELMIRA, NY 14905-1676
(607) 795-2820
(607) 795-2821
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011272
NY
Other
Enumeration date
05/20/2020
Last updated
11/13/2024
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