Healthcare Provider Details

I. General information

NPI: 1417352519
Provider Name (Legal Business Name): BARBARA COHEN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 W 43RD ST APT 38-S
NEW YORK NY
10036-6319
US

IV. Provider business mailing address

484 W 43RD ST APT 38-S
NEW YORK NY
10036-6319
US

V. Phone/Fax

Practice location:
  • Phone: 646-265-0826
  • Fax:
Mailing address:
  • Phone: 646-265-0826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-58283
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: