Individual
SORAYYA KASSAMALI RICKICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-109824
NY
367A00000X
Advanced Practice Midwife
Primary
F001941
NY
Other
Enumeration date
05/11/2017
Last updated
10/21/2024
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