Provider Demographics
NPI:1376932814
Name:SEDAKA, RIKKI (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:
Last Name:SEDAKA
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 1:19-06 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5333
Mailing Address - Country:US
Mailing Address - Phone:201-873-1596
Mailing Address - Fax:
Practice Address - Street 1:19-06 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5333
Practice Address - Country:US
Practice Address - Phone:201-873-1596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15099100163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant