Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ALPP-257572 | NY |
NPI | 1346850898 |
---|---|
Provider Name | Christine L Mahoney Brooks |
First Address | Brooklyn, NY 11203-1159 |
Second Address | Brooklyn, NY 11203-1159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2020 |
Last Update Date | 08/08/2020 |