Individual
SUZANNA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
109 ROXBURY RD, GARDEN CITY, NY 11530-2623
(718) 310-8898
Mailing address
109 ROXBURY RD, GARDEN CITY, NY 11530-2623
(718) 310-8898
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
NA
NY
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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