Western New York Integrated Care Collaborative, Inc. | |
742 Delaware Avenue, Buffalo, NY 14209 | |
(716) 887-2749 | |
Not Available |
Full Name | Western New York Integrated Care Collaborative, Inc. |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 742 Delaware Avenue, Buffalo, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881101954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Secondary |
Provider Name | Maria Ines Aguero Demanunta |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962858621 PECOS PAC ID: 9638466923 Enrollment ID: I20160930000671 |
Provider Name | Nicole L Kmicinski |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1093193468 PECOS PAC ID: 1658627070 Enrollment ID: I20180627001929 |
Provider Name | Margaret J Fitkowski |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1740935469 PECOS PAC ID: 9638564370 Enrollment ID: I20220316003082 |
Provider Name | Jennifer Klein |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1184379026 PECOS PAC ID: 8224423975 Enrollment ID: I20220316003370 |
Provider Name | Miranda Bethin |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1114672839 PECOS PAC ID: 3476948126 Enrollment ID: I20220316003482 |
Provider Name | Elizabeth M Musial |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932839867 PECOS PAC ID: 2860878311 Enrollment ID: I20221006001013 |
Provider Name | Rachel Laster |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1063023505 PECOS PAC ID: 3870952476 Enrollment ID: I20230629002151 |
Mailing Address | Practice Location Address |
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Western New York Integrated Care Collaborative, Inc. 742 Delaware Avenue, Buffalo, NY 14209 Ph: (716) 887-2749 | Western New York Integrated Care Collaborative, Inc. 742 Delaware Avenue, Buffalo, NY 14209 Ph: (716) 887-2749 |
Stephanie Ann Lomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Tara Lyn Cloutier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 East St, Buffalo, NY 14207 Phone: 716-860-1731 | |
Ms. Barbara A Sylvester, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Gates Cir, Buffalo, NY 14209 Phone: 716-887-5385 | |
Mrs. Lisa M. Bradt, RD, CSR, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Delaware Ave, Suite 100, Buffalo, NY 14202 Phone: 716-903-3730 | |
Perizat Adylbekova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Robin Rd, Buffalo, NY 14228 Phone: 716-320-0303 | |
Traci Punturiero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant Street, Buffalo, NY 14222 Phone: 716-878-7893 | |
Rachel Laster, RD, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 33 Manhart St, Buffalo, NY 14215 Phone: 716-812-1577 |