DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CUSTOM DIETETICS, PC

Active Organization

Registered Dietitian · WILLIAMSVILLE, NY

Registration Details

NPI Number
1063596880
Provider Type
Organization
NPI Issued
Oct 25, 2006 (19.491603224752 yrs)
Last Updated
May 2, 2023
License
005917-1 (NY)

Practice Information

Address
2801 WEHRLE DR STE 4
WILLIAMSVILLE, NY, 142217381
Browse NY providers · Browse ZIP 14221
Phone
7166267415
Fax
7166320389
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian
Additional Specialty
Registered Dietitian

Other Registered Dietitian Organizations in WILLIAMSVILLE, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.