Individual
ANGELA BENCIVENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH RD CDN
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 831-4154
(914) 457-1526
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1376
(914) 607-5730
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005178-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
12/21/2005
Last updated
01/17/2021
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