Provider Demographics
NPI:1962824201
Name:LONG ISLAND BREASTFEEDING.COM
Entity Type:Organization
Organization Name:LONG ISLAND BREASTFEEDING.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:516-660-0484
Mailing Address - Street 1:308 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-4815
Mailing Address - Country:US
Mailing Address - Phone:516-660-0484
Mailing Address - Fax:
Practice Address - Street 1:308 SHORE RD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-4815
Practice Address - Country:US
Practice Address - Phone:516-660-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL-45594174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty