Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Lee Petrusek, RDN

Individual provider Registered Dietitian · NPI 1588430862

Mariah Lee Petrusek, RDN is a Registered Dietitian in Buffalo, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

4330 Maple Rd
Buffalo, NY 14226-1064
Phone: (716) 348-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 011535-01 (NY)

Record details

NPI number1588430862
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Other providers in Buffalo