Healthcare Provider Details

I. General information

NPI: 1821961046
Provider Name (Legal Business Name): BEWELL BY VICTORIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 WRIGHT ST STE 107
WESTPORT CT
06880-3114
US

IV. Provider business mailing address

8 WRIGHT ST STE 107
WESTPORT CT
06880-3114
US

V. Phone/Fax

Practice location:
  • Phone: 914-497-9348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA DIBIASI
Title or Position: FOUNDER/OWNER
Credential: MS, RD, CDN
Phone: 914-497-9348