Individual
MS. DAWN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4405 25TH AVE, ASTORIA, NY 11103-2052
(410) 991-5673
Mailing address
4405 25TH AVE, ASTORIA, NY 11103-2052
(410) 991-5673
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
NY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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