Provider Demographics
NPI:1861600629
Name:MANN, MARGOT (IBCLC, BA, DIP ED)
Entity type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:IBCLC, BA, DIP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 HENRY HUDSON PKWY APT 12A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3259
Mailing Address - Country:US
Mailing Address - Phone:917-371-1948
Mailing Address - Fax:718-432-1255
Practice Address - Street 1:3333 HENRY HUDSON PKWY APT 12A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3259
Practice Address - Country:US
Practice Address - Phone:917-371-1948
Practice Address - Fax:718-432-1255
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN