Provider Demographics
NPI:1497070163
Name:TOPS COOKING SCHOOL 41
Entity Type:Organization
Organization Name:TOPS COOKING SCHOOL 41
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL COOKING SCHOOL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-515-2000
Mailing Address - Street 1:3980 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1024
Mailing Address - Country:US
Mailing Address - Phone:716-515-2000
Mailing Address - Fax:716-362-9679
Practice Address - Street 1:3980 MAPLE RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1024
Practice Address - Country:US
Practice Address - Phone:716-515-2000
Practice Address - Fax:716-362-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty