Individual
MRS. NIESHA CANSELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
245 PARKVIEW AVE, 4G, BRONXVILLE, NY 10708-1331
(646) 981-8780
Mailing address
245 PARKVIEW AVE, 4G, BRONXVILLE, NY 10708-1331
(646) 981-8780
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
494399
NY
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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