Provider Demographics
NPI:1093219586
Name:NUTRITION LINK SERVICES, LLC
Entity Type:Organization
Organization Name:NUTRITION LINK SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESDIENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONJA
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:WERKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RDN
Authorized Official - Phone:732-267-0490
Mailing Address - Street 1:50 JEANNE DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1701
Mailing Address - Country:US
Mailing Address - Phone:845-566-3506
Mailing Address - Fax:
Practice Address - Street 1:50 JEANNE DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1701
Practice Address - Country:US
Practice Address - Phone:845-566-3506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty