Individual
SOPHIA KRULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDN,CDE
Contact information
Practice address
135 GRANT ST, BUFFALO, NY 14213-1604
(716) 881-4300
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003464-1
NY
163WN1003X
Nutrition Support Registered Nurse
003464
NY
Other
Enumeration date
04/25/2006
Last updated
10/06/2020
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