Healthcare Provider Details

I. General information

NPI: 1205742129
Provider Name (Legal Business Name): LATCHOLOGY LI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 RICHLEE ST
BLUE POINT NY
11715-1517
US

IV. Provider business mailing address

26 RICHLEE ST
BLUE POINT NY
11715-1517
US

V. Phone/Fax

Practice location:
  • Phone: 631-766-7851
  • Fax:
Mailing address:
  • Phone: 631-766-7851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE ANN OCON
Title or Position: LACTATION CONSULTANT
Credential: RN, BSN, IBCLC
Phone: 631-766-7851