Individual
DIKLA Z BARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOT, IBCLC
Contact information
Practice address
507 DEAN ST APT 2R, BROOKLYN, NY 11217-2155
(646) 243-9366
Mailing address
507 DEAN ST APT 2R, BROOKLYN, NY 11217-2155
(646) 243-9366
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11167483
NY
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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