Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 204997 | NY |
Y | 174N00000X | Lactation Consultant | L-302325 | NY |
NPI | 1366719247 |
---|---|
Provider Name | Grace Anne Macnair |
First Address | Brooklyn, NY 11225-4126 |
Second Address | Brooklyn, NY 11225-4126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2011 |
Last Update Date | 20/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-302325 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (01) | NY |