Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-56295 |
NPI | 1033498530 |
---|---|
Provider Name | Marlene Carneiro |
First Address | Katonah, NY 10536-1114 |
Second Address | Katonah, NY 10536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2011 |
Last Update Date | 31/07/2018 |