Individual
MRS. CATHERINE WATSON GENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
8315 98TH ST APT 1U, WOODHAVEN, NY 11421-1664
(718) 846-2323
Mailing address
8315 98TH ST APT 1U, WOODHAVEN, NY 11421-1664
(718) 846-2323
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0896037
AETNA PROVIDER ID
NY
Enumeration date
03/10/2007
Last updated
07/30/2011
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