Provider Demographics
NPI:1447404504
Name:MCGUIRE, PATRICIA (IBCLC, CLC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:IBCLC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 STANTON ST
Mailing Address - Street 2:APT 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-1628
Mailing Address - Country:US
Mailing Address - Phone:212-473-7016
Mailing Address - Fax:
Practice Address - Street 1:148 STANTON ST
Practice Address - Street 2:APT 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-1628
Practice Address - Country:US
Practice Address - Phone:212-473-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist