Provider Demographics
NPI:1679297808
Name:RABBITT, ALISON JANET (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JANET
Last Name:RABBITT
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 1:5110 BAY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1041
Mailing Address - Country:US
Mailing Address - Phone:716-288-6680
Mailing Address - Fax:
Practice Address - Street 1:5110 BAY VIEW RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1041
Practice Address - Country:US
Practice Address - Phone:716-288-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY517220163WL0100X
NY517220-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant