Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-107670 | NY |
NPI | 1073011953 |
---|---|
Provider Name | Andrea L Ventura |
First Address | White Plains, NY 10602-0046 |
Second Address | White Plains, NY 10602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2018 |
Last Update Date | 28/06/2018 |