Organization · Type 2 NPI

Custom Dietetics, PC

Registered Dietitian · Williamsville, NY

NPI number 1063596880 Active

Practice location

2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387

Call (716) 626-7415 Map

Fax (716) 632-0389

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XNone listed
Registered Dietitian 133V00000X005917-1 (NY)
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1063596880

Custom Dietetics, PC's National Provider Identifier is 1063596880, issued on Oct 25, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Williamsville, NY. The record was last updated on Mar 31, 2026.