Provider Demographics
NPI:1639551930
Name:BORENSZTEIN, YAEL (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:BORENSZTEIN
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 1:18 SAINT MARKS PL APT 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8043
Mailing Address - Country:US
Mailing Address - Phone:646-512-0842
Mailing Address - Fax:
Practice Address - Street 1:18 SAINT MARKS PL APT 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8043
Practice Address - Country:US
Practice Address - Phone:646-512-0842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL-46679163WL0100X
NY622689163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn