Individual
JANYLL A PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
417 RIVERDALE AVE, YONKERS, NY 10705-2918
(914) 294-8846
Mailing address
417 RIVERDALE AVE, YONKERS, NY 10705-2918
(914) 294-8846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719763
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-303487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719763
RN LICENSE
NY
01
—
L-303487
IBCLC CERTIFICATION
NY
Enumeration date
04/12/2022
Last updated
05/18/2022
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