Organization
EMPIRE LACTATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA RIVERA MA, IBCLC (OWNER)
(718) 450-2694
Entity
Organization
Contact information
Practice address
29 ROUSNER LN, NEW PALTZ, NY 12561-4512
(718) 450-2694
Mailing address
29 ROUSNER LN, NEW PALTZ, NY 12561-4512
(718) 450-2694
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043566763
—
NY
Enumeration date
03/01/2019
Last updated
03/01/2019
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