Provider Demographics
NPI:1043850381
Name:TSIGARAS, RENIA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:RENIA
Middle Name:
Last Name:TSIGARAS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RHEIN CT
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1030
Mailing Address - Country:US
Mailing Address - Phone:201-247-9962
Mailing Address - Fax:
Practice Address - Street 1:600 RHEIN CT
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1030
Practice Address - Country:US
Practice Address - Phone:201-247-9962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL-160376163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty