Organization
NUTRI PERX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY C. DAMIANO MS,RD,CDN (OWNER)
(716) 366-1012
Entity
Organization
Contact information
Practice address
323 CENTRAL AVE STE 34, DUNKIRK, NY 14048-2140
(716) 366-1012
(716) 366-1298
Mailing address
323 CENTRAL AVE STE 34, DUNKIRK, NY 14048-2140
(716) 366-1012
(716) 366-1298
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005451-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2659
MEDICARE PART B
—
Enumeration date
07/28/2009
Last updated
07/28/2009
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