Organization
MGM PROFESSIONAL CARE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA GEORGE MARCELLUS RN, IBCLC, CLC (LACTATION CONSULTANT)
(646) 416-3820
Entity
Organization
Contact information
Practice address
134 NEW YORK AVE, FREEPORT, NY 11520-1538
(646) 416-3820
Mailing address
134 NEW YORK AVE, FREEPORT, NY 11520-1538
(646) 416-3820
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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