Individual
BIANCA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC
Contact information
Practice address
32 BRUCE AVE, YONKERS, NY 10705-3201
(914) 525-7945
Mailing address
PO BOX 1383, YONKERS, NY 10702-1383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050093
NY
174N00000X
Lactation Consultant (Non-RN)
—
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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