Yekaterina Spivak
Lactation Consultant
444 New Providence Rd
Mountainside
, New Jersey 07092
Yekaterina Spivak
Lactation Consultant
444 New Providence Rd
Mountainside
, New Jersey 07092
(646) 404-6591
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Yekaterina Spivak
- 444 New Providence Rd
- Mountainside, NJ
- Zip : 07092-1409
- Phone : (646) 404-6591
Second Address
- Yekaterina Spivak
- 444 New Providence Rd
- Mountainside, NJ
- Zip : 07092
- Phone : (973) 797-9790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | L56767 | NY |
National Provider Identifier
| NPI | 1376817742 |
|---|---|
| Provider Name | Yekaterina Spivak |
| First Address | Mountainside, NJ 07092-1409 |
| Second Address | Mountainside, NJ 07092 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2012 |
| Last Update Date | 20/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.