Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11233942 | NY |
NPI | 1346594629 |
---|---|
Provider Name | Heather Mcfadden |
First Address | New York, NY 10027-5901 |
Second Address | New York, NY 10027-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2012 |
Last Update Date | 07/11/2012 |