Individual
MRS. EMILY PENALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2211
Mailing address
6581 PARKWOOD DR, LOCKPORT, NY 14094-6613
(716) 471-5043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010898
NY
Other
Enumeration date
09/22/2023
Last updated
10/10/2024
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