Provider Demographics
NPI:1952098105
Name:HOFRICHTER, MEGANNE (RD)
Entity Type:Individual
Prefix:
First Name:MEGANNE
Middle Name:
Last Name:HOFRICHTER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MEGANNE
Other - Middle Name:
Other - Last Name:HOFRICHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:222 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2112
Mailing Address - Country:US
Mailing Address - Phone:585-297-1034
Mailing Address - Fax:585-297-1034
Practice Address - Street 1:222 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1227
Practice Address - Country:US
Practice Address - Phone:585-297-1034
Practice Address - Fax:585-297-1188
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY865355133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered