Custom Dietetics, Pc

LBN: Custom Dietetics, Pc
Custom Dietetics, Pc is an health care organization with primary practice located at 2801 Wehrle Dr Ste 4 , Williamsville NY 14221-7381. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Custom Dietetics, Pc can be contacted via phone (716) 626-7415, or through Odachowski, Allyson Erica via phone (716) 626-7415.

Contact Information

Primary practice address
2801 Wehrle Dr Ste 4 Williamsville NY 14221-7381
Phone: (716) 626-7415
Fax: (716) 632-0389
Website:
Map and Directions
Authorized official contact:
Name: Odachowski, Allyson Erica R.D., CDN
Phone: (716) 626-7415

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005917-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1063596880
LBN Legal business name Custom Dietetics, Pc
DBA Doing business as
Authorized official Odachowski, Allyson Erica R.D., CDN
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated May 2nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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