Individual
MS. JENNIFER L CROMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
206 S ELMWOOD AVE, AIDS COMMUNITY SERVICES, BUFFALO, NY 14201-2398
(716) 847-0328
(716) 847-2715
Mailing address
147 HENDRICKS BLVD, AMHERST, NY 14226-3241
(716) 523-3864
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
005329-1
NY
133V00000X
Registered Dietitian
810734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356390918
—
NY
Enumeration date
10/13/2008
Last updated
10/13/2008
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