Healthcare Provider Details
I. General information
NPI: 1730853953
Provider Name (Legal Business Name): LITTLE FEEDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/02/2021
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 BONNIE CT
SPRING VALLEY NY
10977-2224
US
IV. Provider business mailing address
29 BONNIE CT
SPRING VALLEY NY
10977-2224
US
V. Phone/Fax
- Phone: 845-521-4930
- Fax:
- Phone: 845-521-4930
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIANA
FRIEDMAN
Title or Position: OWNER
Credential: MSN, FNP-C, IBCLC
Phone: 845-521-4930