National Provider Identifier

Colleen B Eder

Colleen B Eder is listed in the NPPES registry with a primary specialty of Registered Dietitian in Hamburg, NY and a listed phone number of (716) 646-0096.

NPI 1073016473Hamburg, NYRegistered Dietitian

Profile Overview

NPI
1073016473
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
March 12, 2018
Last Updated
March 12, 2018

Practice Location

  • 4540 Southwestern Blvd
  • Hamburg, NY 14075-1930

Phone: (716) 646-0096

Mailing Address

  • 157 Lexington Ave
  • Buffalo, NY 14222-1809

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1073016473
Entity Type
Individual
Last Name
Eder
First Name
Colleen
Middle Name
B
Mailing Street Address
157 Lexington Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1809
Mailing Country
US
Mailing Phone
(716) 574-6540
Practice Street Address
4540 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1930
Practice Country
US
Practice Phone
(716) 646-0096
Enumeration Date
March 12, 2018
Last Updated
March 12, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)