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NPI Code Detail

MEDICARE: MS. ZOE WILSON RDN CDN

MEDICARE:  MS. ZOE  WILSON  RDN CDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach
2133V00000XRegistered Dietitian011599NY

General Provider Information

NPI Number : 1134973456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZOE WILSON RDN CDN
Provider Business Mailing Address
First Line : 254 N 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-4142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 254 N 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-4142
Country : US
Telephone Number : 917-951-0934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 01/14/2025

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Directions to “ MS. ZOE WILSON RDN CDN” Practice Location

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