| Organization Name: | KENMORE FAMILY MEDICINE |
| NPI Number: | 1710345343 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER LASKOWSKI (OFFICE MANAGE) |
| Mailing Address: | 2914 Elmwood Ave Kenmore |
| State: | NY US |
| Postal Code: | 142171332 |
| Phone Number: | 7168756700 |
| Fax Number: | 7168756853 |
| NPI Enumeration Date: | 02/10/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 848683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |