Individual
MS. FLANNERY GREGG FONTINELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LCCE
Contact information
Practice address
700 COLUMBUS AVE, APT 20-D, NEW YORK, NY 10025-6662
(212) 749-3490
Mailing address
700 COLUMBUS AVE, APT 20-D, NEW YORK, NY 10025-6662
(212) 749-3490
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11097653
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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