Provider Demographics
NPI:1780314195
Name:MACNAIR LACTATION LLC.
Entity type:Organization
Organization Name:MACNAIR LACTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-590-9614
Mailing Address - Street 1:626 ROUTE 376
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3110
Mailing Address - Country:US
Mailing Address - Phone:845-590-9614
Mailing Address - Fax:
Practice Address - Street 1:302 LINCOLN RD APT 3R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4126
Practice Address - Country:US
Practice Address - Phone:845-590-9614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty