Provider Demographics
NPI:1649912817
Name:CHOJNOWSKI, MARY C (RD, CDN, MBA)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:C
Last Name:CHOJNOWSKI
Suffix:
Gender:F
Credentials:RD, CDN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 STERLING DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1577
Mailing Address - Country:US
Mailing Address - Phone:716-704-0684
Mailing Address - Fax:716-625-1236
Practice Address - Street 1:200 STERLING DR STE 100
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1577
Practice Address - Country:US
Practice Address - Phone:716-704-0684
Practice Address - Fax:716-625-1236
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009261-01133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered