Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-302772 |
NPI | 1275128332 |
---|---|
Provider Name | Lisa Binderow |
First Address | New York, NY 10007-1350 |
Second Address | New York, NY 10007-1350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2021 |
Last Update Date | 01/03/2021 |