Individual
STACY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
811 CORTELYOU RD APT 4E, BROOKLYN, NY 11218-6300
(917) 882-7590
Mailing address
811 CORTELYOU RD APT 4E, BROOKLYN, NY 11218-6300
(917) 882-7590
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-49909
NY
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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