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Individual

INNA BOSTANCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, IBCLC

Contact information

Practice address
1036 PARK AVE # 1B, NEW YORK, NY 10028-0971
(917) 903-2307
Mailing address
1036 PARK AVE # 1B, NEW YORK, NY 10028-0971
(212) 303-7680

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
225700000X
Massage Therapist
027527
NY

Other

Enumeration date
10/11/2018
Last updated
02/02/2023
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