Individual
CHRISTY AQUILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BURKE LN, SYOSSET, NY 11791-3932
(516) 496-6400
Mailing address
15 BURKE LN, SYOSSET, NY 11791-3932
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
689537-1
NY
Other
Enumeration date
07/15/2022
Last updated
08/07/2023
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