Provider Demographics
NPI:1881006559
Name:SOSNOWSKI, STEPHANIE (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SOSNOWSKI
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MID OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2522
Mailing Address - Country:US
Mailing Address - Phone:845-783-1268
Mailing Address - Fax:
Practice Address - Street 1:8 MID OAKS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2522
Practice Address - Country:US
Practice Address - Phone:845-783-1268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN