Kimberly Mousseau-Young
Lactation Consultant
3736 Ny Highway 43
West Sand Lake
, New York 12196-1929
Kimberly Mousseau-Young
Lactation Consultant
3736 Ny Highway 43
West Sand Lake
, New York 12196-1929
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Kimberly Mousseau-Young
- 3736 Ny Highway 43
- West Sand Lake, NY
- Zip : 12196-1929
- Phone :
Second Address
- Kimberly Mousseau-Young
- 3736 Ny Highway 43
- West Sand Lake, NY
- Zip : 12196-1929
- Phone : (518) 712-5337
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Is Kimberly Mousseau-Young a sole practitioner?
Is Kimberly Mousseau-Young accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | L-61566 | NY |
National Provider Identifier
| NPI | 1023481967 |
|---|---|
| Provider Name | Kimberly Mousseau-Young |
| First Address | West Sand Lake, NY 12196-1929 |
| Second Address | West Sand Lake, NY 12196-1929 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2015 |
| Last Update Date | 31/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.