National Provider Identifier

Holly Gonzales-Gilligan, MA, RD

Holly Gonzales-Gilligan, MA, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (315) 945-4278.

NPI 1457725855Rochester, NYRegistered Dietitian

Profile Overview

NPI
1457725855
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
November 23, 2015
Last Updated
November 19, 2025

Practice Location

  • 10 Miracle Mile Dr
  • Rochester, NY 14623-5851

Phone: (315) 945-4278

Specialties

  • Registered Dietitian (133V00000X)
  • Registered Dietitian (133V00000X)
Full Record
NPI
1457725855
Entity Type
Individual
Last Name
Gonzales-Gilligan
First Name
Holly
Credential
MA, RD
Provider Other Last Name
Gilligan
Provider Other First Name
Holly
Provider Other Credential Text
MA, RD, CDN
Provider Other Last Name Type Code
1
Mailing Street Address
10 Miracle Mile Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5851
Mailing Country
US
Mailing Phone
(585) 945-4278
Practice Street Address
10 Miracle Mile Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5851
Practice Country
US
Practice Phone
(315) 945-4278
Enumeration Date
November 23, 2015
Last Updated
November 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X), Registered Dietitian (133V00000X)
Other Identifiers
C02658 (CT, Medicare Ynhh)