Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-107787 |
NPI | 1366078248 |
---|---|
Provider Name | Sadye Ariana Silva |
First Address | New York, NY 10016-5041 |
Second Address | New York, NY 10016-5041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2020 |
Last Update Date | 23/03/2020 |