Individual
BONNIE W HALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
73 CHANDLER AVE, STATEN ISLAND, NY 10314-2924
(718) 981-2871
Mailing address
73 CHANDLER AVE, STATEN ISLAND, NY 10314-2924
(718) 981-2871
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11181475
NY
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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