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Individual

MIA BORGATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC, RN, LMT, CD

Contact information

Practice address
2 E 2ND ST # 2, BROOKLYN, NY 11218-1020
(917) 407-6840
Mailing address
2 E 2ND ST # 2, BROOKLYN, NY 11218-1020
(917) 407-6840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630799
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
302643
NY
225700000X
Massage Therapist
003538
NY
374J00000X
Doula
NY

Other

Enumeration date
01/21/2021
Last updated
01/21/2021
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