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General NPI Number Information
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NPI Number | 1902619760
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Entity Type | Individual
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Provider Name | SYDNEY NUZZO MS, RDN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 4115 S NINE MILE RD LOT 36
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City | ALLEGANY
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State | NY
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Zip | 14706-9744
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Country | US
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Telephone | 716-574-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 45 TEMPLE ST # 677
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City | PORTVILLE
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State | NY
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Zip | 14770-9798
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Country | US
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Telephone | 716-574-9957
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86358229
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License Number State | NY
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