Provider Demographics
NPI:1205373529
Name:WENGLER, LINDSAY (MS, RD, CDN, CNSC)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:WENGLER
Suffix:
Gender:F
Credentials:MS, RD, CDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W 60TH ST UNIT 20816
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-9737
Mailing Address - Country:US
Mailing Address - Phone:646-801-8789
Mailing Address - Fax:
Practice Address - Street 1:27 W 60TH ST UNIT 20816
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-9737
Practice Address - Country:US
Practice Address - Phone:917-509-7369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008847-01133N00000X, 133V00000X
NY008847133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist