KATHERINE KONCELIK


Address: 112 Jefferson St, East Islip, NY 11730
Phone: 6315811066

KATHERINE KONCELIK (NPI# 1477876480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477876480
Entity Type Individual
Full Name KATHERINE KONCELIK
Credential CBD, CPD, CLC
Practice Address 112 Jefferson St
East Islip
NY 11730
Mailing Address 112 Jefferson St
East Islip
NY 11730-1826
Practice Telephone 6315811066
Mailing Telephone 6315811066
Enumeration Date 2010-03-04
Last Update Date 2018-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN Other Service Providers
N 374J00000X Doula NY Nursing Service Related Providers

Office Location

Street Address 112 JEFFERSON ST
City EAST ISLIP
State NY
Zip Code 11730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568092583 Exchange Ambulance Corporation of The Islips Ambulance 190 Carleton Avenue, East Islip, NY 11730 2020-01-17
1629422639 Wanda Chisolm Counselor 107 East Main Street, East Islip, NY 11730 2016-04-15
1689040990 Ryan George Baist Pharmacist 18 Argyle Drive, East Islip, NY 11730 2015-08-20
1225448855 Michael John Desivo Dentist 228 East Main St, East Islip, NY 11730 2014-05-05
1306279401 Eileen Henry Specialist 81 Country Village Lane, East Islip, NY 11730 2013-08-13
1124306659 Carol A Ryan-behr Licensed Practical Nurse 145 Woodland Ave, East Islip, NY 11730 2011-08-02
1154651768 Helene Dellas-dibona Social Worker 216 Carleton Avenue, East Islip, NY 11730 2010-01-04
1952513921 Lorraine G Ballou Social Worker 31 Sherwood Drive, East Islip, NY 11730 2007-05-04
1235271362 Robert Anthony Domozych Jr. Dentist 127 West Main Street, East Islip, NY 11730 2007-02-13
1477614766 Kathleen O'neill Counselor 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 2006-12-12
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427659267 Roxanne S Henry Lactation Consultant, Non-RN 79 De Mallie St, Rochester, NY 14610-1027 2020-11-06
1801403746 Janell Barron Lactation Consultant, Non-RN 2321 7th Ave # Apy1f, New York, NY 10030-2543 2020-09-24
1346850898 Christine L Mahoney Brooks Lactation Consultant, Non-RN 546 Midwood St Apt D8, Brooklyn, NY 11203-1159 2020-08-08
1710505706 Natasha Dillahunt Lactation Consultant, Non-RN 649 Washington Ave Apt 4b, Brooklyn, NY 11238-3684 2020-07-07
1538786603 Kimberly Gibson Lactation Consultant, Non-RN 159-20 Harlem River Dr Apt 6b, New York, NY 10039-1204 2020-07-06
1417581307 Amelia Blythe Brady-cole Lactation Consultant, Non-RN 1135 Park Pl Apt 3, Brooklyn, NY 11213-2601 2020-02-28
1376173419 Jodi Lynn Leonforte Lactation Consultant, Non-RN 1842 Tomlinson Ave # 2, Bronx, NY 10461-1419 2020-01-16
1619517083 Cassandra Christopher Lactation Consultant, Non-RN 79 Hamilton Pl Apt 14, New York, NY 10031-6850 2020-01-13
1235778341 Amy Kesavan Lactation Consultant, Non-RN 10 Chamberlain St, Rye, NY 10580-2410 2020-01-06
1962041228 Jennifer Mary Sierant Lactation Consultant, Non-RN 3342 Lockport Olcott Rd, Newfane, NY 14108-9604 2020-01-03
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Competitor

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City EAST ISLIP
Zip Code 11730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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