Organization
UPPER BREAST SIDE CORPORATION
Active
Organization
UPPER BREAST SIDE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELINA SARA RAKOWSKI-GALLAGHER CLC (PRESIDENT)
(212) 873-2653
Entity
Organization
Contact information
Practice address
135 W 70TH ST, SUITE 1L, NEW YORK, NY 10023-4458
(212) 873-2653
Mailing address
135 W 70TH ST, SUITE 1L, NEW YORK, NY 10023-4458
(212) 873-2653
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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