Healthcare Provider Details

I. General information

NPI: 1881506806
Provider Name (Legal Business Name): NUTRITION WITH MARIA-ELENA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 ELLICOTT ST
BUFFALO NY
14203-1547
US

IV. Provider business mailing address

505 ELLICOTT ST
BUFFALO NY
14203-1547
US

V. Phone/Fax

Practice location:
  • Phone: 716-901-2139
  • Fax:
Mailing address:
  • Phone: 716-901-2139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MARIA-ELENA KATRINA DAMASIEWICZ
Title or Position: REGISTERED DIETITIAN
Credential: RD
Phone: 716-901-2139