Individual
TARYN CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
10 PROVOST DRIVE, SUFFERN, NY 10901-7540
(845) 598-1356
Mailing address
10 PROVOST DRIVE, SUFFERN, NY 10901-7540
(845) 598-1356
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
108-30119
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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