Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1275806523 |
---|---|
Provider Name | Mrs. Mercedes Bentolila |
First Address | Monsey, NY 10952-2411 |
Second Address | Monsey, NY 10952-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 16/02/2012 |