Individual
MRS. EVELYN A KAZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145
Mailing address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
4422841
NY
133V00000X
Registered Dietitian
Primary
004656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465154
—
NY
01
—
6507343
ENCOMPASS 65
—
01
—
710000694
RAILROAD MEDICARE
—
01
—
8000002
GROUP HEALTH INS PPO CMP
—
01
—
9609415
CUSTOM COVERAGE
—
Enumeration date
02/28/2006
Last updated
11/22/2011
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