Provider Demographics
NPI:1043401409
Name:BEKMAN, ANGELIKA (MS, RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELIKA
Middle Name:
Last Name:BEKMAN
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SEACOAST TER
Mailing Address - Street 2:10W
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6040
Mailing Address - Country:US
Mailing Address - Phone:917-862-4362
Mailing Address - Fax:718-769-3342
Practice Address - Street 1:35 SEACOAST TER
Practice Address - Street 2:10W
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6040
Practice Address - Country:US
Practice Address - Phone:917-862-4362
Practice Address - Fax:718-769-3342
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY929870133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered