Healthcare Provider Details

I. General information

NPI: 1235663212
Provider Name (Legal Business Name): BUFFALO NUTRITION & DIETETICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 WHITEHAVEN RD
GRAND ISLAND NY
14072-1846
US

IV. Provider business mailing address

501 JOHN JAMES AUDUBON PKWY STE 360
AMHERST NY
14228-1143
US

V. Phone/Fax

Practice location:
  • Phone: 716-704-0684
  • Fax:
Mailing address:
  • Phone: 716-704-0684
  • Fax: 716-625-1236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number006660
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number006633-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRICIA E SAUER
Title or Position: OWNER/CEO
Credential: RDN, CDN, LDN, IFNCP
Phone: 716-704-0684