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MIRANDA BETHIN MS, RD, CDN

Individual Provider (NPI-1) Active

Dietitian, Registered

Provider Information

NPI Number
1114672839
Provider Type
Individual Provider (NPI-1)
Credentials
MS, RD, CDN
Status
Active

Contact & Location

Address
742 DELAWARE AVE, BUFFALO, NY, 142092202
Phone
(716) 431-5100

Specialties & Taxonomies

Dietitian, Registered Primary License: NY #010572

All Addresses

LOCATION

742 DELAWARE AVE

BUFFALO, NY, 142092202

(716) 431-5100

MAILING

22 KEATS AVE

TONAWANDA, NY, 141508540