| NPI | 1124832431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE DOWD Owner 631-774-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 136A00000X Dietetic Technician, Registered | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |