Paul Guglielmo
Individual provider Active NPI Registered Dietitian · Perrysburg, NY
NPI 1922323005 · NPPES record last updated Apr 1, 2010
Key facts
- NPI
- 1922323005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000059-1 (NY)
- Practice address
- 10714 North Rd
Perrysburg, NY 14129-9746 - Phone
- (716) 532-1049
- Fax
- (716) 532-0679
- NPI assigned
- Apr 1, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000059-1 | NY | MD | Registered Dietitian |
| 000059 | NY | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000059-1 | NY | Yes |
Addresses
Primary practice location
10714 North Rd
Perrysburg, NY 14129-9746
Mailing address
108 Carefree LN
Cheektowaga, NY 14227-2219
Phone (716) 668-5380
Other providers in Perrysburg, NY
- Catherine Mary Engel
- Sheila Marie Fiebelkorn
- Faith L Foser
- Alison Fronczak
- Frances A Gabel
- Margaret Ann Gunsolus
- Kathleen J Guziec
- Kimberly Ann Harris
- Nicole Kristine Hassler
- Melissa A Hedstrand
All providers in Perrysburg, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.