Healthcare Provider Details

I. General information

NPI: 1770018673
Provider Name (Legal Business Name): DEBORAH SCHLEIFER R.N, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHAYA DEBORAH STERN R.N, IBCLC

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 HENDRICKSON ST
BROOKLYN NY
11234-3513
US

IV. Provider business mailing address

1571 HENDRICKSON ST
BROOKLYN NY
11234-3513
US

V. Phone/Fax

Practice location:
  • Phone: 347-885-2602
  • Fax:
Mailing address:
  • Phone: 347-885-2602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number650707-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: