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NPI Code Detail

MEDICARE: ANGELA JASMINE WILENSKY MS, RD, CDN

MEDICARE: ANGELA JASMINE WILENSKY MS, RD, 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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1679446918
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA JASMINE WILENSKY MS, RD, CDN
Provider Business Mailing Address
First Line : 355 W 85TH ST APT 73
Second Line :
City : NEW YORK
State : NY
Zip : 10024-3848
Country : US
Telephone Number : 707-980-4285
Fax Number :
Provider Business Practice Location Address
First Line : 150 RIVERSIDE DR
Second Line :
City : NEW YORK
State : NY
Zip : 10024-2298
Country : US
Telephone Number : 707-980-4285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 03/24/2026

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