National Provider Identifier
Sophia Kruly, RD, CDN, CDE
Sophia Kruly, RD, CDN, CDE is listed in the NPPES registry with a primary specialty of Nutritionist in Buffalo, NY and a listed phone number of (716) 881-4300.
Profile Overview
- NPI
- 1689630824
- Provider Type
- Individual
- Primary Specialty
- Nutritionist
- Enumeration Date
- April 25, 2006
- Last Updated
- October 06, 2020
Practice Location
- 135 Grant St
- Buffalo, NY 14213-1604
Phone: (716) 881-4300
Mailing Address
- 908 Niagara Falls Blvd
- Suite 208
- North Tonawanda, NY 14120-2019
Specialties
- Nutritionist (133N00000X)
- Nutrition Support Registered Nurse (163WN1003X)
Full Record
- NPI
- 1689630824
- Entity Type
- Individual
- Last Name
- Kruly
- First Name
- Sophia
- Credential
- RD, CDN, CDE
- Mailing Street Address
- 908 Niagara Falls Blvd
- Mailing Address Line 2
- Suite 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 135 Grant St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1604
- Practice Country
- US
- Practice Phone
- (716) 881-4300
- Enumeration Date
- April 25, 2006
- Last Updated
- October 06, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nutritionist (133N00000X), Nutrition Support Registered Nurse (163WN1003X)