Healthcare Provider Details

I. General information

NPI: 1679433254
Provider Name (Legal Business Name): TORI RITER CDN, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORI GEORGE

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 LIMESTONE DR STE 5
WILLIAMSVILLE NY
14221-8602
US

IV. Provider business mailing address

1118 BACKUS RD
DERBY NY
14047-9598
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-1400
  • Fax: 716-632-5316
Mailing address:
  • Phone: 716-864-1188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number013027-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: