| Jacquelyn Anderson, RD, CDN | |
|
2157 Main St, Buffalo, NY 14214-2648 | |
| (716) 862-1984 | |
| (716) 862-1228 |
| Full Name | Jacquelyn Anderson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2157 Main St, Buffalo, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982006375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86010156 (New York) | Primary |
| Provider Name | Sisters Of Charity Hospital Of Buffalo New York |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Provider Name | Excelsior Orthopaedics Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831196757 PECOS PAC ID: 2062491517 Enrollment ID: O20040717000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Anderson, RD, CDN 2157 Main St, Buffalo, NY 14214-2648 Ph: () - | Jacquelyn Anderson, RD, CDN 2157 Main St, Buffalo, NY 14214-2648 Ph: (716) 862-1984 |
Stephanie Ann Lomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Tara Lyn Cloutier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 East St, Buffalo, NY 14207 Phone: 716-860-1731 | |
Ms. Barbara A Sylvester, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Gates Cir, Buffalo, NY 14209 Phone: 716-887-5385 | |
Mrs. Lisa M. Bradt, RD, CSR, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Delaware Ave, Suite 100, Buffalo, NY 14202 Phone: 716-903-3730 | |
Matthew Pellerite, RD Dietitian Medicare: Medicare Enrolled Practice Location: 300 Niagara St, Buffalo, NY 14201 Phone: 716-242-8600 Fax: 716-332-0832 | |
Perizat Adylbekova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Robin Rd, Buffalo, NY 14228 Phone: 716-320-0303 | |
Traci Punturiero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant Street, Buffalo, NY 14222 Phone: 716-878-7893 |