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Contact Information

ACTIVE NUTRITION
2238 OLD UNION RD
CHEEKTOWAGA, NY14227-2728
 Phone: 716-608-7697
 Fax: 716-668-2671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ACTIVE NUTRITION · (Female)

NPI # 1679891279
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2010
Last updated 05/07/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 000926855
  • NY Other BA0206 HEALTHNOW UMD
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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