Individual
BAILA SCHLUSSELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, WHNP, IBCLC, MNN
Contact information
Practice address
320 DERBY AVE, WOODMERE, NY 11598-2820
(347) 633-4358
Mailing address
320 DERBY AVE, WOODMERE, NY 11598-2820
(347) 633-4358
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
659403
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421671
NY
Other
Enumeration date
03/27/2019
Last updated
10/10/2023
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