Healthcare Provider Details

I. General information

NPI: 1740996628
Provider Name (Legal Business Name): ARIEL GEHRINGER RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 01/25/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 SPRINGWOOD RD STE A
YORK PA
17403-4836
US

IV. Provider business mailing address

2009 SPRINGWOOD RD STE A
YORK PA
17403-4836
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-3244
  • Fax: 717-851-2934
Mailing address:
  • Phone: 717-851-3244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86171164
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: