Provider Demographics
NPI:1861893604
Name:NANCY KLEINFELD, R.D., IBCLC, RLC
Entity type:Organization
Organization Name:NANCY KLEINFELD, R.D., IBCLC, RLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:KLEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:RD, IBCLC, RLC
Authorized Official - Phone:732-547-8907
Mailing Address - Street 1:1200 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1124
Mailing Address - Country:US
Mailing Address - Phone:732-547-8907
Mailing Address - Fax:732-292-0357
Practice Address - Street 1:1200 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1124
Practice Address - Country:US
Practice Address - Phone:732-547-8907
Practice Address - Fax:732-292-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty