Individual
ANU CHAKKUMKAL SHIBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N 2ND ST, NEW HYDE PARK, NY 11040-2827
(914) 677-1216
Mailing address
915 N 2ND ST, NEW HYDE PARK, NY 11040-2827
(914) 677-1216
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307992
NY
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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