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Organization
WNY NUTRITION PLLC
Active
Organization
WNY NUTRITION PLLC
Active
Other names
WNY NUTRITION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ANNE THOMPSON DIPAOLO MS RD CDN CDE (OWNER/REGISTERED DIETITIAN)
(716) 316-3722
Entity
Organization
Contact information
Practice address
12835 WHITNEY RD, HOLLAND, NY 14080-9753
(716) 316-3722
(716) 537-2475
Mailing address
12835 WHITNEY RD, HOLLAND, NY 14080-9753
(716) 316-3722
(716) 537-2475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005754-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005754-1
PROFESSIONAL LICENSE NYS
NY
Enumeration date
10/19/2016
Last updated
10/19/2016
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