| Supporting Our Mothers Initiative | |
|
17719 120th Ave Jamaica NY 11434-1929 | |
| (347) 692-0488 | |
| Not Available |
| Full Name | Supporting Our Mothers Initiative |
|---|---|
| Speciality | Lactation Consultant, Non-rn |
| Location | 17719 120th Ave, Jamaica, New York |
| Authorized Official Name and Position | Charline Ogbeni (OWNER) |
| Authorized Official Contact | 3476920488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supporting Our Mothers Initiative 17719 120th Ave Jamaica NY 11434-1929 Ph: (347) 692-0488 | Supporting Our Mothers Initiative 17719 120th Ave Jamaica NY 11434-1929 Ph: (347) 692-0488 |
| NPI Number | 1558021394 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558021394 | NPI | - | NPPES |
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