Individual
MATTHEW PELLERITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
300 NIAGARA ST, BUFFALO, NY 14201-2135
(716) 242-8600
(716) 332-0832
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010506
NY
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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