WNY NUTRITION THERAPY NPI 1093614034

NPI Information

  • NPI: 1093614034
  • Provider Name: WNY NUTRITION THERAPY
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1876 NIAGARA FALLS BLVD STE 103
    TONAWANDA, NY
    ZIP 14150
  • Phone: (716) 393-8811

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NPI Details

WNY NUTRITION THERAPY is a health service clinic center in Tonawanda, NY. WNY NUTRITION THERAPY NPI is 1093614034. The provider is registered as an organization entity type.

The provider's business location address is:

1876 NIAGARA FALLS BLVD STE 103
TONAWANDA, NY
ZIP 14150-439
Phone: (716) 393-8811
Fax: (716) 229-3131

The provider's authorized official is Kaley Michelle Dewey .
The authorized official title is Manager and has the following contact phone number (716) 345-4646.

The enumeration date for this NPI number is 11/4/2026 and was last updated on 11/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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