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Contact Information

ANGELA BENCIVENGO, MPH RD CDN
210 WESTCHESTER AVE
WHITE PLAINS, NY10604-2901
 Phone: 914-831-4154
 Fax: 914-457-1526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ANGELA BENCIVENGO · (Female)

NPI # 1679559561
Status Active
Credentials MPH RD CDN
Entity Individual
Enumeration date 12/21/2005
Last updated 01/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005178-1
  • NY Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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