Individual
MRS. MARIA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. , IBCLC
Contact information
Practice address
523 LIDO BLVD, LIDO BEACH, NY 11561-5238
(516) 713-1147
(516) 432-7892
Mailing address
523 LIDO BLVD, LIDO BEACH, NY 11561
(516) 713-1147
(516) 432-7892
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-152931
NY
Other
Enumeration date
01/12/2022
Last updated
01/13/2022
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