Healthcare Provider Details

I. General information

NPI: 1275459893
Provider Name (Legal Business Name): EMILY D WOJCIECHOWSKI IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE N
ALBANY NY
12207-2922
US

IV. Provider business mailing address

340 HAVEN AVE APT 4K
NEW YORK NY
10033-5340
US

V. Phone/Fax

Practice location:
  • Phone: 917-779-0907
  • Fax:
Mailing address:
  • Phone: 845-649-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-322297
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: