Organization
YBREAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH YADEGARI CLC, JD (CEO)
(917) 796-5501
Entity
Organization
Contact information
Practice address
60 HEATHER DR, ROSLYN, NY 11576-2211
(917) 796-5501
(516) 456-0451
Mailing address
60 HEATHER DR, ROSLYN, NY 11576-2211
(917) 796-5501
(516) 456-0451
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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