Individual
MRS. VIKTORIYA ILINA-LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
100 BRADLEY PL, MINEOLA, NY 11501-3713
(347) 415-0562
Mailing address
100 BRADLEY PL, MINEOLA, NY 11501-3713
(347) 415-0562
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-84469
NY
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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