Individual
MRS. JENNIFER RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8871
Mailing address
50 E NORTH ST, BUFFALO, NY 14203-1002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002052-1
NY
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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