National Provider Identifier
Amy Julicher, RD, CDE, CDN
Amy Julicher, RD, CDE, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 713-5059.
Profile Overview
- NPI
- 1770503328
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 19, 2006
- Last Updated
- October 13, 2021
Practice Location
- 149 Traverse Blvd
- Buffalo, NY 14223-1013
Phone: (716) 713-5059
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1770503328
- Entity Type
- Individual
- Last Name
- Julicher
- First Name
- Amy
- Name Prefix
- Mrs.
- Credential
- RD, CDE, CDN
- Provider Other Last Name
- Suwalski
- Provider Other First Name
- Amy
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RD, CDN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 149 Traverse Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1013
- Mailing Country
- US
- Mailing Phone
- (716) 713-5059
- Practice Street Address
- 149 Traverse Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1013
- Practice Country
- US
- Practice Phone
- (716) 713-5059
- Enumeration Date
- July 19, 2006
- Last Updated
- October 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 000528327001 (NY, Blue Cross Of Wny)