Individual
MS. BETINA Y GRIGOROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, BSN, CCE, IBCLC
Contact information
Practice address
601 W 160TH ST, SUITE 6E, NEW YORK, NY 10032-5613
(212) 928-3791
Mailing address
601 W 160TH ST, SUITE 6E, NEW YORK, NY 10032-5613
(212) 928-3791
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
197-13965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197-13965
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINER ( IBLCE )
VA
Enumeration date
09/30/2010
Last updated
09/30/2010
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