Provider Demographics
NPI:1932620960
Name:GRAF, KATY A (RDN, CDN)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:A
Last Name:GRAF
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:CZAPSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CDN
Mailing Address - Street 1:126 VEGOLA AVE
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 AURORA DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-2041
Practice Address - Country:US
Practice Address - Phone:716-254-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered