Custom Dietetics, PC
NPI #1063596880 in Williamsville, New York
Provider Information
- NPI Number
- 1063596880
- Entity Type
- Organization
- Organization Name
- Custom Dietetics, PC
- Primary Specialty
- Nutritionist
- Enumeration Date
- Oct 25, 2006
- Last Updated
- May 2, 2023
Practice Location
- Address
- 2801 WEHRLE DR STE 4
- City
- Williamsville
- State
- New York
- ZIP Code
- 14221-7381
- Phone
- (716) 626-7415
Authorized Official
- Name
- ALLYSON ERICA ODACHOWSKI, R.D., CDN
- Title
- PRESIDENT/REGISTERED DIETITIAN
- Phone
- (716) 626-7415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
| Dietitian, Registered |
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