National Provider Identifier
Jacquie Punaro, R.D.
Jacquie Punaro, R.D. is listed in the NPPES registry with a primary specialty of Registered Dietitian in Lackawanna, NY and a listed phone number of (716) 819-5072.
Profile Overview
- NPI
- 1639615081
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- January 10, 2017
- Last Updated
- January 10, 2017
Practice Location
- 55 Melroy Ave
- Lackawanna, NY 14218-1658
Phone: (716) 819-5072
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1639615081
- Entity Type
- Individual
- Last Name
- Punaro
- First Name
- Jacquie
- Credential
- R.D.
- Mailing Street Address
- 55 Melroy Ave
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1658
- Mailing Country
- US
- Practice Street Address
- 55 Melroy Ave
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1658
- Practice Country
- US
- Practice Phone
- (716) 819-5072
- Enumeration Date
- January 10, 2017
- Last Updated
- January 10, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)