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Contact Information

BESPOKE FAMILY NUTRITION PLLC
29 REDFERN DR
CHURCHVILLE, NY14428-8901
 Phone: 585-455-3180
 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 BESPOKE FAMILY NUTRITION PLLC

NPI Number 1205613858
LBN Legal business name BESPOKE FAMILY NUTRITION PLLC
Authorized official STEPHANIE DEMING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2023
Last updated 09/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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