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Contact Information

JACQUELYN ANDERSON, RD, CDN
2157 MAIN ST
BUFFALO, NY14214-2648
 Phone: 716-862-1984
 Fax: 716-862-1228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JACQUELYN ANDERSON · (Female)

NPI # 1982006375
Status Active
Credentials RD, CDN
Entity Individual
Enumeration date 09/17/2014
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 86010156
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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