National Provider Identifier
Jennifer Russo, RD, CDN
Jennifer Russo, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 885-8871.
Profile Overview
- NPI
- 1386040079
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- November 07, 2014
- Last Updated
- November 07, 2014
Practice Location
- 50 E North St
- Buffalo, NY 14203-1002
Phone: (716) 885-8871
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1386040079
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Jennifer
- Name Prefix
- Mrs.
- Credential
- RD, CDN
- Mailing Street Address
- 50 E North St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1002
- Mailing Country
- US
- Practice Street Address
- 50 E North St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1002
- Practice Country
- US
- Practice Phone
- (716) 885-8871
- Enumeration Date
- November 07, 2014
- Last Updated
- November 07, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)