Individual
RANDI E DAPONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2 LINDEN ST, CORAM, NY 11727-1112
(631) 926-7143
Mailing address
2 LINDEN ST, CORAM, NY 11727-1112
(631) 926-7143
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
411585
NY
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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