Individual
ALEXIA WIEGANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6262
Mailing address
200 E 15TH ST APT 17E, NEW YORK, NY 10003-3921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010460
NY
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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