National Provider Identifier
Gwendolyn Eilleen Mancuso, R.D., C.D.N.
Gwendolyn Eilleen Mancuso, R.D., C.D.N. is listed in the NPPES registry with a primary specialty of Registered Dietitian in Canandaigua, NY and a listed phone number of (585) 396-6000.
Profile Overview
- NPI
- 1306032958
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- September 18, 2007
- Last Updated
- September 18, 2007
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1731
Phone: (585) 396-6000
Mailing Address
- 77 Butler Dr
- Pittsford, NY 14534-2507
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1306032958
- Entity Type
- Individual
- Last Name
- Mancuso
- First Name
- Gwendolyn
- Middle Name
- Eilleen
- Name Prefix
- Mrs.
- Credential
- R.D., C.D.N.
- Mailing Street Address
- 77 Butler Dr
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-2507
- Mailing Country
- US
- Mailing Phone
- (585) 359-0476
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1731
- Practice Country
- US
- Practice Phone
- (585) 396-6000
- Enumeration Date
- September 18, 2007
- Last Updated
- September 18, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)