National Provider Identifier

Tanisha Gonzalez, RDN

Tanisha Gonzalez, RDN 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.

NPI 1124781570Buffalo, NYRegistered Dietitian

Profile Overview

NPI
1124781570
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
October 21, 2021
Last Updated
October 22, 2021

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)

Endpoints

  • Buffalo

    Other Url | Health Information Exchange (Hie) | Buffalo, NY 14201

  • blasdell

    Other Url | Health Information Exchange (Hie) | Blasdell, NY 14219

  • hamburg

    Other Url | Health Information Exchange (Hie) | Hamburg, NY 14075

Full Record
NPI
1124781570
Entity Type
Individual
Last Name
Gonzalez
First Name
Tanisha
Credential
RDN
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
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
Enumeration Date
October 21, 2021
Last Updated
October 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)