Provider Demographics
NPI:1841593134
Name:CHUSID, LINDA J (RDN, CDN, LDN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:CHUSID
Suffix:
Gender:F
Credentials:RDN, CDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PRESTON C
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-2471
Mailing Address - Country:US
Mailing Address - Phone:516-458-5178
Mailing Address - Fax:
Practice Address - Street 1:102 PRESTON C
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-2471
Practice Address - Country:US
Practice Address - Phone:516-458-5178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000997-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered