| NPI | 1972059558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA HAWKINS President 646-627-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 337605) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 22 497346) |
| 174N00000X Lactation Consultant, Non-RN (Licence: NY L-20236) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |