Individual
COLLEEN B EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 SOUTHWESTERN BLVD, HAMBURG, NY 14075-1930
(716) 646-0096
Mailing address
157 LEXINGTON AVE, BUFFALO, NY 14222-1809
(716) 574-6540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00722900
NY
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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