WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC. (NPI# 1881101954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881101954 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC. |
| Practice Address |
742 Delaware Avenue Buffalo NY 14209 |
| Practice Telephone | 7168872749 |
| Mailing Telephone | 7168872749 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | KENNETH GENEWICK (PRESIDENT OF BOARD) |
| Authorized Official Telephone | 7164384021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574060 | Western New York Integrated Care Collaborative, Inc. | Health Educator | 742 Delaware Ave, Buffalo, NY 14209-2202 | 2020-09-29 |
| Street Address |
742 DELAWARE AVENUE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| 1073837787 | Vimal Sarup | Student in an Organized Health Care Education/Training Program | 1176 Main Street, Ross Eye Institute/university At Buffalo, Buffalo, NY 14209 | 2010-03-24 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023505 | Rachel Laster | Dietitian, Registered | 33 Manhart St, Buffalo, NY 14215-3224 | 2020-08-10 |
| 1720639792 | Clara Isabelle Nosek | Dietitian, Registered | 960 Busti Ave Apt 405, Buffalo, NY 14213-2100 | 2019-09-21 |
| 1326696352 | Lai Yeng Chung | Dietitian, Registered | 742 Delaware Ave, Buffalo, NY 14209-2202 | 2019-09-03 |
| 1891254462 | Kaitlyn E Summers | Dietitian, Registered | 116 Plymouth Ave # 2, Buffalo, NY 14201-1212 | 2019-03-13 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1114400702 | Kim Bloomer | Dietitian, Registered | 40 La Riviere Dr, Buffalo, NY 14202-4344 | 2018-09-11 |
| 1942797071 | Kathleen A Adam | Dietitian, Registered | 728 Mckinley Pkwy, Buffalo, NY 14220-1524 | 2018-04-14 |
| 1689177792 | Diana Korzhukova | Dietitian, Registered | 572 Potomac Ave Apt 4, Buffalo, NY 14222-1153 | 2018-03-14 |
| 1932620960 | Katy A Graf | Dietitian, Registered | 101 Aurora Dr, Buffalo, NY 14215-2041 | 2017-06-29 |
| 1972041523 | Drew Hemler | Dietitian, Registered | 78 Prospect Ave, Apt 3, Buffalo, NY 14201-2401 | 2017-02-03 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.