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Contact Information

AVATAR WELLNESS LLC
250 PINE ST
LOCKPORT, NY14094-4927
 Phone: 716-425-1499
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AVATAR WELLNESS LLC · (Female)

NPI # 1083496038
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2023
Last updated 10/16/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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