Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | NY |
NPI | 1073922894 |
---|---|
Provider Name | Julia Soldano |
First Address | Sayville, NY 11782 |
Second Address | Sayville, NY 11782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2014 |
Last Update Date | 06/08/2014 |