Provider Demographics
NPI:1689546087
Name:WIK, BRIANNA (RDN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:WIK
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:LETONJA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN
Mailing Address - Street 1:179 CAPE HATTERAS WALK
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:179 CAPE HATTERAS WALK
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1084
Practice Address - Country:US
Practice Address - Phone:716-345-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86357748133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered