Individual
SUSAN ELLEN BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, PHD, IBCLC
Contact information
Practice address
216 W 89TH ST, #3C, NEW YORK, NY 10024-1822
(917) 912-8066
Mailing address
216 W 89TH ST, #3C, NEW YORK, NY 10024-1822
(917) 912-8066
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102-17946
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
07/06/2012
Last updated
07/06/2012
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