Provider Demographics
NPI:1912443920
Name:HODES, MARGOT (EDD, MA, IBCLC)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:
Last Name:HODES
Suffix:
Gender:F
Credentials:EDD, MA, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550J GRAND ST APT 6H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4212
Mailing Address - Country:US
Mailing Address - Phone:646-245-7367
Mailing Address - Fax:
Practice Address - Street 1:550J GRAND ST APT 6H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4212
Practice Address - Country:US
Practice Address - Phone:646-245-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 174H00000X, 174N00000X
L-131188174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-131188OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE)
NY7753OtherNATIONAL COMMISSION FOR HEALTH EDUCATION CREDENTIALING, INC.
NY80949OtherACADEMY OF LACTATION POLICY AND PRACTICE