Provider Demographics
NPI:1972041523
Name:HEMLER, DREW (RDN, CDN)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:HEMLER
Suffix:
Gender:M
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 PROSPECT AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2401
Mailing Address - Country:US
Mailing Address - Phone:315-391-8349
Mailing Address - Fax:
Practice Address - Street 1:78 PROSPECT AVE
Practice Address - Street 2:APT 3
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2401
Practice Address - Country:US
Practice Address - Phone:315-391-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008823-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered