IndividualActive
Jay Wolkoff, CDN
NPI 1669991204 · Nutritionist · Waterbury, CT
Provider details
- NPI number
- 1669991204
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- CDN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Practice location
93 Wedgewood Dr
Waterbury, CT 06705-3611
Phone: (203) 231-9580
Approximate (ZIP-level) locationGet directions
Mailing address
93 Wedgewood Dr
Waterbury, CT 06705-3611
Registry dates
- Enumerated
- 2017-09-14
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.