Individual
JOANN RADESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNIBCLC
Contact information
Practice address
365 OAKWOOD AVE, WEST ISLIP, NY 11795-2911
(631) 422-1809
Mailing address
365 OAKWOOD AVE, WEST ISLIP, NY 11795-2911
(631) 422-1809
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
606919-1
NY
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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