Organization
NUTRITIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA LENKOVSKIY RD (REGISTERED DIETITIAN)
(646) 637-8889
Entity
Organization
Contact information
Practice address
500 CATHERINE ST APT 1, FORT LEE, NJ 07024-2595
(646) 637-8889
Mailing address
500 CATHERINE ST APT 1, FORT LEE, NJ 07024-2595
(646) 637-8889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
972278
NY
Other
Enumeration date
02/28/2017
Last updated
05/24/2017
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