Bencivengo, Angela

Bencivengo, Angela is an individual health care provider with primary practice located at 210 Westchester Ave , White Plains NY 10604-2901. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bencivengo, Angela can be contacted via phone (914) 831-4154.

Contact Information

Primary practice address
210 Westchester Ave White Plains NY 10604-2901
Phone: (914) 831-4154
Fax: (914) 457-1526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005178-1 New York

Profile Details

NPI number 1679559561
LBN Legal business name Bencivengo, Angela
Credentials MPH RD CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679559561 NPPES
New York MEDICAID PENDING

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