Organization
ACTIVE NUTRITION
Active
Other names
Maria R Weber DBA Active Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA R WEBER MS RD CDN (OWNER)
(716) 608-7697
Entity
Organization
Contact information
Practice address
2238 OLD UNION RD, CHEEKTOWAGA, NY 14227-2728
(716) 608-7697
(716) 668-2671
Mailing address
2238 OLD UNION RD, CHEEKTOWAGA, NY 14227-2728
(716) 608-7697
(716) 668-2671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000926855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0206
HEALTHNOW UMD
NY
Enumeration date
05/07/2010
Last updated
05/07/2010
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