Provider Demographics
NPI:1679814420
Name:PRECISION PERFORMANCE AND WELLNESS, LLC
Entity Type:Organization
Organization Name:PRECISION PERFORMANCE AND WELLNESS, LLC
Other - Org Name:SMART NUTRITION BY FRANK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK (FRANCESCO)
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:716-220-2342
Mailing Address - Street 1:5500 MAIN ST STE 344
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6737
Mailing Address - Country:US
Mailing Address - Phone:716-220-2342
Mailing Address - Fax:877-704-5354
Practice Address - Street 1:5500 MAIN ST STE 344
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6737
Practice Address - Country:US
Practice Address - Phone:716-220-2342
Practice Address - Fax:877-704-5354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133V00000X
NY007145133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty