Individual
ARACELIS PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1316 BROADWAY, NEW HYDE PARK, NY 11040-4222
(917) 828-6496
Mailing address
1316 BROADWAY, NEW HYDE PARK, NY 11040-4222
(917) 828-6496
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-161573
NY
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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