Provider Demographics
NPI:1114125044
Name:SHULMAN, BETH PAULA (RN,IBCLC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:PAULA
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:RN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 EDGARS LN
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1137
Mailing Address - Country:US
Mailing Address - Phone:914-478-7046
Mailing Address - Fax:
Practice Address - Street 1:68 EDGARS LN
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1137
Practice Address - Country:US
Practice Address - Phone:914-478-7046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341970-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant