Healthcare Provider Details

I. General information

NPI: 1881004661
Provider Name (Legal Business Name): NATURAL BREASTFEEDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 COURT ST 14TH FLOOR
BROOKLYN NY
11241-0102
US

IV. Provider business mailing address

PO BOX 743
NEW HYDE PARK NY
11040-0743
US

V. Phone/Fax

Practice location:
  • Phone: 516-382-6901
  • Fax:
Mailing address:
  • Phone:
  • 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: MRS. SANDY MCCABE
Title or Position: LACTATION CONSULTANT
Credential: R.N.
Phone: 516-382-6901