Individual
MRS. ELLEN BANE MAHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LCCE
Contact information
Practice address
60 ELM ST, GREENWOOD LAKE, NY 10925-2129
(845) 477-2937
Mailing address
60 ELM ST, GREENWOOD LAKE, NY 10925-2129
(845) 477-2937
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
254086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19010568
IBCLE
—
01
—
21116
LAMAZE INTERNATIONSAL
—
01
—
254086
OFFICE OF THE PROFESSIONS
NY
Enumeration date
01/08/2015
Last updated
01/08/2015
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