Individual
MRS. DENISE DIBERNARDO BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Contact information
Practice address
2365 UNION RD, CHEEKTOWAGA, NY 14227-2234
(716) 923-1910
Mailing address
75 BEARD AVE, BUFFALO, NY 14214-1670
(716) 832-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001182
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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