Individual
AMY FOTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 987-5124
Mailing address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 987-5124
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-69071
NY
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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