Healthcare Provider Details

I. General information

NPI: 1265591721
Provider Name (Legal Business Name): JENNIFER A TURESKY MS, RD, CDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 MAIN ST SETON PROFESSIONAL BUILDING, SUITE 100
BUFFALO NY
14214-2648
US

IV. Provider business mailing address

2157 MAIN ST SETON PROFESSIONAL BUILDING, SUITE 100
BUFFALO NY
14214-2648
US

V. Phone/Fax

Practice location:
  • Phone: 716-862-1035
  • Fax: 716-862-1873
Mailing address:
  • Phone: 716-862-1035
  • Fax: 716-862-1873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number005755-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: