Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1043566763 |
---|---|
Provider Name | Lea Rivera Todaro |
First Address | New Paltz, NY 12561-4512 |
Second Address | Brooklyn, NY 11201-4421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 01/03/2019 |