Individual
MRS. DOMINIQUE ELIZABETH WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
155 E 31ST ST, APT 15A, NEW YORK, NY 10016-6800
(305) 924-0113
Mailing address
155 E 31ST ST, APT 15A, NEW YORK, NY 10016-6800
(305) 924-0113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
608607
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
62093
NY
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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