IndividualActive
Donna Kimick, IBCLC, RLC
NPI 1659657864 · Lactation Consultant (Non-RN) · Massapequa Park, NY
Provider details
- NPI number
- 1659657864
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC, RLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10421257 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
232 Lakeshore Blvd
Massapequa Park, NY 11762-3005
Phone: (516) 799-7911
Approximate (ZIP-level) locationGet directions
Mailing address
232 Lakeshore Blvd
Massapequa Park, NY 11762-3005
Registry dates
- Enumerated
- 2011-11-01
- Last updated
- 2011-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.