Doctor Name: | CLARE BERMAN |
NPI Number: | 1003205428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, IBCLC |
License Number: | 4643011 |
Business Practice Address: | One Healthy Way Oceanside, NY - 11572 |
Business Phone Number: | 5166324988 |
Business Fax Number: | |
Mailing Address: | One Healthy Way, OCEANSIDE |
State: | NY |
Postal Code: | 11572 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/22/2015 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 4643011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |