National Provider Identifier
Tracy Dan Jiang
Tracy Dan Jiang is listed in the NPPES registry with a primary specialty of Registered Dietitian in Batavia, NY and a listed phone number of (585) 344-0628.
Profile Overview
- NPI
- 1154892073
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- December 17, 2018
- Last Updated
- December 17, 2018
Practice Location
- 2A Richmond Ave
- Batavia, NY 14020-1408
Phone: (585) 344-0628
Mailing Address
- 72 Mapleleaf Dr
- Buffalo, NY 14221-2714
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1154892073
- Entity Type
- Individual
- Last Name
- Jiang
- First Name
- Tracy
- Middle Name
- Dan
- Mailing Street Address
- 72 Mapleleaf Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2714
- Mailing Country
- US
- Mailing Phone
- (713) 447-7856
- Practice Street Address
- 2A Richmond Ave
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1408
- Practice Country
- US
- Practice Phone
- (585) 344-0628
- Enumeration Date
- December 17, 2018
- Last Updated
- December 17, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 133V00000X (NY)