Individual
CARLY NEIDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
21 BUTLER PL APT 2F, BROOKLYN, NY 11238-5123
(914) 450-7412
Mailing address
21 BUTLER PL APT 2F, BROOKLYN, NY 11238-5123
(914) 450-7412
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-125373
NY
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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