Provider Demographics
NPI:1841542925
Name:BRUSCHI, DONNA M (IBCLC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:BRUSCHI
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15 PLATTEKILL AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1915
Mailing Address - Country:US
Mailing Address - Phone:845-750-4402
Mailing Address - Fax:845-255-0370
Practice Address - Street 1:15 PLATTEKILL AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1915
Practice Address - Country:US
Practice Address - Phone:845-750-4402
Practice Address - Fax:845-255-0370
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2013-07-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN