Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1114391257 |
---|---|
Provider Name | Mrs. Jennifer Newman |
First Address | Yorktown Heights, NY 10598-6317 |
Second Address | Yorktown Heights, NY 10598-6317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2015 |
Last Update Date | 28/11/2015 |