Individual
MR. JEFFREY C ENSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CDE, CDN
Contact information
Practice address
574 MAIN ST, SUITE 203, EAST AURORA, NY 14052-1751
(716) 608-3110
(716) 674-1148
Mailing address
55 DEEPWOOD DR, EAST AURORA, NY 14052-1426
(716) 908-9434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
852929
NY
Other
Enumeration date
04/13/2007
Last updated
10/04/2013
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