Individual
MRS. AMY NOELL CAVALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
241 NASNER LN, SELKIRK, NY 12158-1236
(949) 280-9002
Mailing address
241 NASNER LN, SELKIRK, NY 12158-1236
(949) 280-9002
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
64377601
NY
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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