| Nutrition With Noelle P.c. | |
|
2075 Sheridan Dr Buffalo NY 14223-1425 | |
| (716) 417-6388 | |
| Not Available |
| Full Name | Nutrition With Noelle P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 2075 Sheridan Dr, Buffalo, New York |
| Authorized Official Name and Position | Noelle Marie Desantis (REGISTERED DIETITIAN) |
| Authorized Official Contact | 7164176388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition With Noelle P.c. 573 Auburn Ave Apt 2 Buffalo NY 14222-1350 Ph: (716) 417-6388 | Nutrition With Noelle P.c. 2075 Sheridan Dr Buffalo NY 14223-1425 Ph: (716) 417-6388 |
| NPI Number | 1053811638 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053811638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 009292 (New York) | Primary |
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