Provider Demographics
NPI:1609389907
Name:DOWNEY, MEREDITH L (RN,IBCLC)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:L
Last Name:DOWNEY
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 1:310MANVILLE ROAD
Mailing Address - Street 2:APT L2
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570
Mailing Address - Country:US
Mailing Address - Phone:914-769-0971
Mailing Address - Fax:
Practice Address - Street 1:310 MANVILLE RD APT L2
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2157
Practice Address - Country:US
Practice Address - Phone:914-769-0971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353867163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant