Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 26057 | MA |
NPI | 1033778253 |
---|---|
Provider Name | Meema Spadola |
First Address | Brooklyn, NY 11218-1605 |
Second Address | Brooklyn, NY 11218-1605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2019 |
Last Update Date | 11/06/2019 |