National Provider Identifier
Matthew Pellerite, RD
Matthew Pellerite, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 242-8600.
Profile Overview
- NPI
- 1033927504
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- December 30, 2024
- Last Updated
- December 30, 2024
Practice Location
- 300 Niagara St
- Buffalo, NY 14201-2135
Phone: (716) 242-8600
Mailing Address
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1033927504
- Entity Type
- Individual
- Last Name
- Pellerite
- First Name
- Matthew
- Credential
- RD
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Mailing Fax
- (716) 875-6717
- Practice Street Address
- 300 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-2135
- Practice Country
- US
- Practice Phone
- (716) 242-8600
- Practice Fax
- (716) 332-0832
- Enumeration Date
- December 30, 2024
- Last Updated
- December 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)